目的探讨老年糖尿病低血糖症的临床特点。方法回顾性分析老年糖尿病患者发生低血糖反应的临床特点,并对其原因进行分析,提出防治对策。结果69例中65例得到及时治疗,病情好转,1例因同时患有大面积脑梗死,经积极抢救无效死亡,1例严重低血糖症治疗无效死亡,2例合并糖尿病肾病、心力衰竭死亡。结论临床应提高对老年糖尿病并发低血糖症的认识,及时检测血糖,防止其发生发展。 Objective To investigate the clinical features of elderly diabetic hypoglycemia. Methods The clinical features of hypoglycemic response in elderly patients with diabetes mellitus were retrospectively analyzed. The causes of the hypoglycemia were analyzed and the control strategies were proposed. Results Of the 69 cases, 65 cases were treated promptly and their condition improved. One case died of massive cerebral infarction, and died after active rescue. One case died of severe hypoglycemia, two cases had diabetic nephropathy, and heart failure died. Conclusions The clinical diagnosis of diabetes mellitus complicated with hypoglycemia in the elderly should be improved and the blood glucose should be tested in time to prevent its development.