27 cases of hypoglycemia in elderly diabetic cause analysis and countermeasures.docVIP

 PAGE \* MERGEFORMAT 9 27 cases of hypoglycemia in elderly diabetic cause analysis and countermeasures By: return Yanhua, Chu Chao-ling, YAO Sheng-hua [Keywords:] senile diabetes Elderly patients with diabetes during treatment, often with low blood sugar occur, often due to irrational use of hypoglycemic drugs and blood glucose monitoring lead inappropriate. Section 27 cases are now on my old diabetic with low blood sugar analysis of clinical data is as follows. A clinical data 1.1 The sources of cases from 2000 to 2004 in our hospital wards where the elderly diabetic patients with endocrine hypoglycemia 27. Are in line with WHO 1998 diagnostic criteria of DM Nian. Low blood sugar are in line with Whipple triad and type 2 diabetes. 17 were males and 10 females; aged 60 to 85 years of age, duration 2 to 17 years. 9 cases in which the merger DM nephropathy, hypertension and 8 cases of coronary heart disease, heart failure in 2 cases, liver cirrhosis, 4 cases, cerebral infarction, cerebral hemorrhage in 2 cases, C and Ku-transaminase increased in 2 cases. 1.2 the use of medicines in front of 10 cases of hypoglycemia with insulin (INS) treatment, a daily 20 ~ 46 u. Glibenclamide alone in 5 cases, each 2.5 mg, 3 times per day. Alone Diamicron three cases, each time 40 ~ 120 mg, day 2 or 3 times. 9 cases of application of sulfonylureas (glibenclamide or the United States and more than up or gliclazide) plus biguanides (metformin) combined treatment for each dose glibenclamide 2.5 ~ 5 mg / times or gliclazide 40 ~ 120 mg / times; metformin 0.125 ~ 0.5 g / times were 2 to 3 times per day, individual was added acarbose 50 mg / times, 2 to 3 times a day. 11 cases of diabetes, hypertension, kidney disease, while application of angiotensin-converting enzyme inhibitors. 1.3 time of occurrence of clinical manifestations of hypoglycemia, mostly at night, early morning, or fasting state. 27 patients, of which 22 cases of the performance of weakness, hunger, palpitations