Care and prevention of hypoglycemia in diabetic patients（治疗和预防糖尿病患者的低血糖）.doc

Care and prevention of hypoglycemia in diabetic patients Care and prevention of diabetic hypoglycemia Diabetes is a chronic blood glucose (referred to as blood sugar levels are characterized by increased metabolic diseases, is caused by insulin secretion and (or the role of defects in recent years with the growing improvement of living conditions, diet changes, diabetes has become the world following the cancer, cardiovascular and cerebrovascular disease after the third serious harm to human health and disease. diabetic patients in the use of insulin and oral hypoglycemic medication, often hypoglycemia, blood glucose is brain energy the main source of severe hypoglycemia is a direct result of brain tissue damage and even coma if not found, to correct will result in patients with nervous system damage and even life-threatening. 1 clinical data 1.1 General Information since January 2008 December -2010 diabetes low blood sugar reaction of 20 cases, including 12 males and 8 females, age 54-86 years of age, duration of 5-25 years, hypertension 15 cases, 12 cases of infectious diseases, 10 cases of coronary heart disease, kidney disease (n = 3). 1.2 The clinical manifestations of 20 cases of patients with hypoglycemia, the measured blood glucose less than 2.8mmol / L, of which a minimum of 0.8mmol / L, an average of 2.2mmol / L, hypoglycemia, such as: pale, sweating , palpitation, trembling, hunger and so on. 1.3 criterion ① the symptoms of hypoglycemia, the The ② onset of whole blood glucose less than 2.5mmol / L, (3) oral or intravenous glucose after hypoglycemia disappeared. 1.4 rescue measures ① absolute bed rest and light, (2), in patients with moderate to oral glucose or fruit juice, biscuits, ③ severe cases, 50% glucose and 40-60ml intravenous injection. 2 care Close observation of changes in condition 2.1, strict nurse shift handover must learn more about the general situation of the patients, such as: diet, exercise, a