老年脆性2型糖尿病并发酮症1例
A Case Report of Elderly Brittle Type 2 Diabetes Complicated with Ketosis
DOI: 10.12677/MD.2023.133053, PDF,   
作者: 陈小婷：遂宁市第一人民医院内分泌科，四川 遂宁
关键词: 脆性糖尿病；治疗；胰岛素；老年人；Brittle Diabetes； Treatment； Insulin； Old Age
摘要: 脆性糖尿病是以胰岛功能衰竭、血糖波动大、病情不稳定、高低血糖反复交替出现、容易发生酮症且不易控制为特点的难治性糖尿病，其多见于1型糖尿病以及胰岛功能近乎衰竭的晚期2型糖尿病患者。此类型的糖尿病严重影响了患者的病情发展及身心健康，需加深对脆性糖尿病的认知、不断探索出更科学有效的治疗技术。通过1例老年脆性2型糖尿病并发酮症的临床病例学习及复习相关知识，提高对此类疾病的诊治水平。
Abstract: Brittle diabetes is a refractory diabetes characterized by pancreatic islet failure, large blood sugar fluctuation, unstable condition, repeated alternating high and low blood sugar, ketosis prone and difficult to control. It is mostly seen in type 1 diabetes and late type 2 diabetes patients with islet failure. This type of diabetes has seriously affected the patient’s condition development and physi-cal and mental health. It is necessary to deepen the understanding of brittle diabetes and constant-ly explore more scientific and effective treatment techniques. Through learning from a clinical case of elderly brittle type 2 diabetes complicated with ketosis and reviewing relevant knowledge, the level of diagnosis and treatment of this kind of disease is improved.
文章引用：陈小婷. 老年脆性2型糖尿病并发酮症1例[J]. 医学诊断, 2023, 13(3): 350-354. https://doi.org/10.12677/MD.2023.133053

参考文献

[1] Cho, N.H., Shaw, J.E., Karuranga, S., et al. (2018) IDF Diabetes Atlas: Global Estimates of Diabetes Prevalence for 2017 and Projections for 2045. Diabetes Research and Clinical Practice, 138, 271-281. [Google Scholar] [CrossRef] [PubMed]
[2] 董玲, 靳秋露, 马洪飞. 老年脆性糖尿病多学科联合诊治的意义[J]. 齐鲁医学杂志, 2017, 32(4): 459-461+465.
[3] 吴筠, 柯涓, 沈妍, 等. 瞬感扫描式血糖监测系统联合胰岛素泵在脆性糖尿病中的治疗效果评估[J]. 当代临床医刊, 2022, 35(4): 84-85.
[4] Pickup, J.C. (2019) Is Insulin Pump Therapy Effective in Type 1 Diabetes? Diabetic Medicine, 36, 269-278. [Google Scholar] [CrossRef] [PubMed]
[5] Dehghani Zahedani, A., Shariat Torbaghan, S., Rahili, S., et al. (2021) Im-provement in Glucose Regulation Using a Digital Tracker and Continuous Glucose Monitoring in Healthy Adults and Those with Type 2 Diabetes. Diabetes Therapy, 12, 1871-1886. [Google Scholar] [CrossRef] [PubMed]
[6] 陈沐雨, 石梅, 陈艳, 等. 脆性糖尿病的精细化管理[J]. 中华糖尿病杂志, 2022, 14(6): 637-642.
[7] 陆颖理, 叶林. “脆性糖尿病”真的易“碎” [J]. 江苏卫生保健, 2021(8): 14.
[8] 谢明伟. 心理治疗联合药物支持在糖尿病患者中的应用效果[J]. 糖尿病天地, 2023(4): 91-92.
[9] 陈小婷, 杨楠, 李智, 等. 低血糖症研究进展[J]. 临床医学进展, 2022, 12(10): 9187-9193. [Google Scholar] [CrossRef]