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老年人可由于种种原因而发生低血糖。与年青人相比,老年人多缺乏自觉症状,非典型表现者多见。还有,老年人由于脑血管障碍或电解质异常等代谢性脑病而发生意识障碍的多,因而忽视低血糖的病例也不少。因此定期测定血糖值是很重要的。一、老年低血糖的原因和需鉴别的疾病老年低血糖的原因分类如表1。据10年间东京养育院附属医院的经验,如表1A中所列举的各种原因所致的低血糖,各仅数例,发生率不高。再如表1C中,的反应性低血糖,虽发现不少,但导致意识障碍的重症病例却较少见。
Elderly people can be hypoglycemic for a variety of reasons. Compared with young people, the elderly lack more symptoms, more common atypical manifestations. In addition, seniors develop more awareness disorders due to metabolic encephalopathy, such as cerebrovascular disorders or electrolyte abnormalities, and therefore many cases of ignoring hypoglycemia. Therefore, it is important to measure blood sugar levels on a regular basis. First, the causes of elderly hypoglycemia and the disease to be identified The causes of hypoglycemia in the elderly are shown in Table 1. According to the experience of Tokyo Foster Hospital in 10 years, hypoglycemia caused by various reasons as listed in Table 1A, only a few cases, the incidence is not high. As Table 1C, the reactive hypoglycemia, although found a lot, but leading to unconscious critically ill cases are rare.