高龄老年2型糖尿病患者发生低血糖的原因及预防措施

目的总结高龄老年2型糖尿病患者发生低血糖的病因及其预防措施。方法回顾性分析医院2005年至2012年收治的16例发生过低血糖的高龄老年2型糖尿病患者的临床资料，总结其低血糖发生原因及预防措施。结果16例患者中，低血糖发生原因包括：饮食不规律、肾功能不全的影响、应激情况对血糖的影响，临床表现不典型而不易察觉。结论高龄老年2型糖尿病患者发生低血糖时症状多不典型．甚至无症状．在临床工作中应该做好低血糖的预防工作。

Objective To evaluste the cause and prevention of hypoglycemia in eldly patients with type 2 diabetes mellitus. Methods Clinical data of 16 type 2 diabetes mellitus admitted from 2005-2012 that occurred hypoglycemia were analyzed retro- spectively.Results Among the 16 eldly patients,the cause for hypoglycemia included：inrregular diet, renal insufficiency,the influ- ence on blood glucose by stress and unrecognized clinical manifestations.Conclusions The symptom of most of the hypoglycemia in eldly patients with type 2 diabetes mellitus is not typical.we should pay nmre attention to the prevention of hypoglycemia.