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近年来,随着人们生活水平的日益增高,老年糖尿病日渐增多,尤其是老年糖尿病引起的一系列的心血管病变已成为当前糖尿病死亡的主要原因之一。加强对其认识及正确处理,对临床工作具有重要意义,必须十分重视。 1 老年糖尿病心血管病变检查要点 1.1 不能只作尿糖而忽视血糖化验:尿糖阳性是诊断糖尿病(DM)的重要线索,但尿糖阴性不能排除糖尿病可能。老年人常并发有肾小球硬化症,肾小球滤过率降低,肾糖阈(正常人为8.9～10mmol/L)升高,此
In recent years, with the continuous improvement of people’s living standards, the increasing number of elderly patients with diabetes, especially diabetes caused by a series of cardiovascular disease has become the current death of diabetes is one of the major causes. To strengthen their understanding and correct handling of clinical work is of great significance, we must attach great importance. 1 elderly diabetic cardiovascular disease check points 1.1 can not only ignore the blood sugar and urine glucose test: Positive urine glucose is an important clue to diagnose diabetes (DM), but negative urine glucose can not rule out the possibility of diabetes. The elderly often complicated by glomerulosclerosis, glomerular filtration rate decreased, renal glucose threshold (normal 8.9 ~ 10mmol / L) increased, this