糖尿病病人发生低血糖不同纠正方法与血糖上升关系的研究
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摘要
[目的]探讨糖尿病病人发生低血糖不同纠正方法与血糖值的变化,帮助其找出相对安全、有效的低血糖应急食物。[方法]选取117例住院期间发生低血糖的糖尿病病人,根据低血糖发生顺序将其随机分为4组:饼干组30例、橙汁组28例、方糖组30例、葡萄糖组29例,分别记录发生低血糖时、进食后15min及次日空腹血糖值。[结果]糖尿病病人发生低血糖时进食4种食物均能在15min后纠正低血糖,使血糖升高至理想水平。4组病人低血糖发生时与进食15min后血糖值波动幅度比较,葡萄糖组高于其他组;4组次日空腹血糖值比较差异无统计学意义。[结论]4种纠正低血糖方法均能有效地纠正低血糖,其中口服50%葡萄糖溶液效果最优,且4种纠正方法均对次日空腹血糖值无影响。
引文
[1]王天歌.中国成人糖尿病流行与控制现状及危险因素研究[D].上海:上海交通大学,2014.
[2]屈丹,邢桂红,徐宏旦,等.门诊2型糖尿病患者低血糖现况调查[J].中国慢性病预防与控制,2015,23(8):602-604.
[3]崔维静,何继瑞,李亚聪.2型糖尿病患者降糖治疗过程中发生低血糖原因的观察[J].中国糖尿病杂志,2013,21(6):534-536.
[4]谭晓青,李冬敏,朱淑芳,等.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的应用[J].护理管理杂志,2014,14(7):525-528.
[5]UNGER J.Uncovering undetected hypoglycemic events[J].Diabetes Metab Syndr Obes,2012(5):57-74.
[6]BONDS D E,MILLER M E,BERGENSTAL R M,et al.The association between symptomatic,severe hypoglycaemia and mortality in type 2diabetes:retrospective epidemiological analysis of the ACCORD study[J].BMJ,2010,340(7738):137.
[7]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,22(8):2-42.
[8]YAFFE K,FALVEY C M,HAMILTON N,et al.Association between hypoglycemia and dementia in a biracial cohort of older adults with diabetes mellitus[J].JAMA Intern Med,2013,173:1300-1306.
[9]KIRKMAN M S,BRISCOE V J,CLARK N,et al.Diabetes in older adults:a consensus report[J].J Am Geriatr Soc,2012,60:2342-2356.
[10]SEAQUIST E R,ANDERSON J,CHILDS B,et al.Hypoglycemia and diabetes:a report of a workgroup of the American Diabetes Association and the Endocrine Society[J].Diabetes Care,2013,36:1384-1395.
[11]UK Hypoglycaemia Study Group.Risk of hypoglycaemia in types1and 2diabetes:effects of treatment modalities and their duration[J].Diabetologia,2007,50:1140-1147.
[12]DAVIS T M,BROWN S G,JACOBS I G,et al.Determinants of severe hypoglycemia complicating type 2diabetes:the fremantle diabetes study[J].J Clin Endocrinol Metab,2010,95:2240-2247.
[13]张舒婷,陈红梅,文玉琼,等.床边血糖管理系统监测住院糖尿病患者低血糖发生特点[J].中华糖尿病杂志,2013,5(1):23-28.
[14]杨存美,马燕兰,亢君,等.糖尿病住院患者低血糖发生时间段的调查及分析[J].中华护理杂志,2015,50(3):303-307.
[15]杨琳,方玲,高瑞华,等.动态血糖监测观察老年糖尿病患者低血糖的发生率及其影响因素[J].中国糖尿病杂志,2016,24(11):986-989.
[16]RAJENDRAN R,RAYMAN G.Point-of-care blood glucose testing for diabetes care in hospitalized patients:an evidence-based review[J].Journal of diabetes science and Technology,2014,8(6):1081-1090.
[17]LAVERNIA F,KUSHNER P,TRENCE D.Recognizing and minimizing hypoglycemia:the need for individualized care[J].Postgrad Med,2015,127(8):801-807.
[2]屈丹,邢桂红,徐宏旦,等.门诊2型糖尿病患者低血糖现况调查[J].中国慢性病预防与控制,2015,23(8):602-604.
[3]崔维静,何继瑞,李亚聪.2型糖尿病患者降糖治疗过程中发生低血糖原因的观察[J].中国糖尿病杂志,2013,21(6):534-536.
[4]谭晓青,李冬敏,朱淑芳,等.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的应用[J].护理管理杂志,2014,14(7):525-528.
[5]UNGER J.Uncovering undetected hypoglycemic events[J].Diabetes Metab Syndr Obes,2012(5):57-74.
[6]BONDS D E,MILLER M E,BERGENSTAL R M,et al.The association between symptomatic,severe hypoglycaemia and mortality in type 2diabetes:retrospective epidemiological analysis of the ACCORD study[J].BMJ,2010,340(7738):137.
[7]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,22(8):2-42.
[8]YAFFE K,FALVEY C M,HAMILTON N,et al.Association between hypoglycemia and dementia in a biracial cohort of older adults with diabetes mellitus[J].JAMA Intern Med,2013,173:1300-1306.
[9]KIRKMAN M S,BRISCOE V J,CLARK N,et al.Diabetes in older adults:a consensus report[J].J Am Geriatr Soc,2012,60:2342-2356.
[10]SEAQUIST E R,ANDERSON J,CHILDS B,et al.Hypoglycemia and diabetes:a report of a workgroup of the American Diabetes Association and the Endocrine Society[J].Diabetes Care,2013,36:1384-1395.
[11]UK Hypoglycaemia Study Group.Risk of hypoglycaemia in types1and 2diabetes:effects of treatment modalities and their duration[J].Diabetologia,2007,50:1140-1147.
[12]DAVIS T M,BROWN S G,JACOBS I G,et al.Determinants of severe hypoglycemia complicating type 2diabetes:the fremantle diabetes study[J].J Clin Endocrinol Metab,2010,95:2240-2247.
[13]张舒婷,陈红梅,文玉琼,等.床边血糖管理系统监测住院糖尿病患者低血糖发生特点[J].中华糖尿病杂志,2013,5(1):23-28.
[14]杨存美,马燕兰,亢君,等.糖尿病住院患者低血糖发生时间段的调查及分析[J].中华护理杂志,2015,50(3):303-307.
[15]杨琳,方玲,高瑞华,等.动态血糖监测观察老年糖尿病患者低血糖的发生率及其影响因素[J].中国糖尿病杂志,2016,24(11):986-989.
[16]RAJENDRAN R,RAYMAN G.Point-of-care blood glucose testing for diabetes care in hospitalized patients:an evidence-based review[J].Journal of diabetes science and Technology,2014,8(6):1081-1090.
[17]LAVERNIA F,KUSHNER P,TRENCE D.Recognizing and minimizing hypoglycemia:the need for individualized care[J].Postgrad Med,2015,127(8):801-807.