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

作　　者：陈小婷 

机构地区：[1]遂宁市第一人民医院内分泌科,四川 遂宁

出　　处：《医学诊断》2023年第3期350-354,共5页Medical Diagnosis

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。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.

关 键 词：脆性糖尿病 血糖波动 2型糖尿病 胰岛功能 1型糖尿病 难治性糖尿病 酮症 临床病例 

分 类 号：R58[医药卫生—内分泌]