以90例老年糖尿病并发低血糖症患者为观察组,90例单纯老年糖尿病患者作为对照组,调查分析两组患者一般资料,分析比较其临床特点,多元线性回归分析并发低血糖症的诱发因素。结果:观察组患者空腹血糖显著低于对照组,差异比较具有统计学意义(P<0.05);观察组40.0%患者临床以交感神经兴奋症状为首发表现,对照组出现交感神经兴奋症状比率为8.9%,前者显著高于后者,差异比较具有统计学意义(P<0.05);多元线性回归分析结果表明,同老年糖尿病伴发低血糖显著相关的诱发因素包含较多并发症、降糖药物滥用、饮食不规律或饮食量减少及运动过量,两组各项因素差异比较均具有统计学意义(P<0.05)。结论:并发症较多、滥用降糖药物、饮食量减少、运动过量为引发老年糖尿病患者并发低血糖症的危险因素,老年糖尿病患者应当加强血糖监控,规避不良生活习惯,以减少发生低血糖的风险。老年糖尿病并发低血糖症则应当合理调整药物及饮食,适当运动,以此改善病情,提升生活质量。 90 cases of elderly patients with diabetes mellitus and hypoglycemia were selected as the observation group and 90 cases of elderly patients with diabetes mellitus as the control group. The general data of the two groups were investigated and analyzed. The clinical features were analyzed and compared. Multiple linear regression analysis was used to analyze the predisposing factors of hypoglycemia. Results: The fasting blood glucose in the observation group was significantly lower than that in the control group (P <0.05). In the observation group, 40.0% of the patients showed sympathetic activation as the first symptom and the sympathetic excitement symptom ratio was 8.9 %, The former was significantly higher than the latter, the difference was statistically significant (P <0.05); multivariate linear regression analysis showed that predisposing factors associated with senile diabetes with hypoglycemia include more complications, hypoglycemic abuse of drugs , Irregular diet or reduced diet and excessive exercise, the differences between the two groups were statistically significant (P <0.05). Conclusion: More complications, abuse of hypoglycemic drugs, decreased diet, excessive exercise are risk factors for elderly patients with diabetes caused by hypoglycemia, elderly patients with diabetes should strengthen blood glucose monitoring, to avoid unhealthy habits, in order to reduce the occurrence of hypoglycemia risk. Elderly diabetes complicated with hypoglycemia should be a reasonable adjustment of drugs and diet, appropriate exercise, in order to improve the condition and improve the quality of life.