低血糖的急诊处理及相关问题讨论王超杰

低血糖的急诊处理及相关问题讨论王超杰内容摘要：

also differs from most other causes of emergency department visits in that it is almost always iatrogenic, said Dr. Sei J. Lee.   And as noted by Dr. Geller and his associates, the 50% increase in insulin use during the past decade is fueling this epidemic of hypoglycemia. That, in turn, can be attributed to the drug industry’s alltooeffective efforts ... to encourage patients and providers to intensify glycemic treatment. Pharmaceutical panies have shaped the current widespread belief in tight glycemic control that has led to aggressive prescribing of insulin, he said.   We should not accept the current rates of hypoglycemia as inevitable or as an acceptable price to pay for treatment, Dr. Lee said. Rather, we should begin using a multipronged approach to decrease the overuse of insulin and minimize the risk of hypoglycemia.   Dr. Lee is with the division of geriatrics at the University of California and the Veterans Affairs Medical Center, both in San Francisco. He reported no relevant financial conflicts of interest. These remarks were taken from his invited mentary acpanying Dr. Geller’s report (JAMA Intern. Med. 2020 March 10 [doi:]).  《 中华老年医学杂志 》 上的一项研究表明， 2型糖尿病（ T2DM）患者严重低血糖事件中性别、 Ccr、 HbA1c、胰岛素和胰岛素促泌剂的使用是主要危险因素，对于高危患者应及早采取措施预防低血糖发生。  暨南大学医学院第四附属医院广州市红十字会医院内分泌科的研究人员纳入了 49例因严重低血糖而收入院的 T2DM患者，并选取同期非低血糖住院的 T2DM患者。