Symptoms and blood glucose levels in diabetics.
Symptoms and blood glucose levels in diabetics.
复制标题
糖尿病患者的症状和血糖水平。
DOI：
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发表时间：
1985
期刊：
影响因子：
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通讯作者：
J. Moses
中科院分区：
文献类型：
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作者：
D. Cox;L. Frederick;S. Pohl;W. Carter;W. Clarke;S. Bennett;A. Rosebloom;C. Bradley;J. Moses
致编辑教科书和专业协会长期以来一直提倡教导糖尿病患者寻找出汗、头痛、颤抖和饥饿等症状作为低血糖的指标，并将口渴、排尿需要、虚弱和恶心等症状解释为高血糖的指标。1，2然后鼓励接受指导的患者进食，避免胰岛素和锻炼，当他们感觉到低血糖的标准症状时测试他们的血糖水平，当他们感觉到高血糖的标准症状时测试他们的血糖水平并避免碳水化合物。[3]最近的调查表明，接受这些指导的病人实际上确实注意到了这些生理暗示并采取了行动。[4]这些公认的患者教育和自我监测指南是建立在这样一种假设之上的：对于所有糖尿病患者，某些症状始终以标准方式与血糖水平相关。然而，最近，6项研究5-10独立进行，
To the Editor.— Textbooks and professional associations have long advocated teaching patients with diabetes to look for symptoms such as sweating, headache, trembling, and hunger as indicators of hypoglycemia and to interpret symptoms such as increased thirst, need to urinate, weakness, and nausea as indicative of hyperglycemia. 1,2 Patients so instructed are then encouraged to eat, avoid insulin and exercise, test their blood glucose levels when they feel the standard symptoms of hypoglycemia, and test their blood glucose levels and avoid carbohydrates when they feel the standard symptoms of hyperglycemia. 3 Recent surveys have shown that patients given these instructions do in fact attend to and act on such physiological cues. 4 These accepted guidelines for patient education and self-monitoring are founded on the assumption that certain symptoms consistently correlate in a standard fashion with blood glucose levels for all persons with diabetes. Recently, however, six studies 5-10 conducted independently