Assessment and management of hypoglycemia in children and adolescents with diabetes
Assessment and management of hypoglycemia in children and adolescents with diabetes
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DOI：
10.1111/pedi.12174
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发表时间：
2014-09-01
影响因子：
3.4
通讯作者：
Jones, Timothy W.
中科院分区：
文献类型：
--
作者：
Ly, Trang T.;Maahs, David M.;Jones, Timothy W.
·患者及其父母应接受培训，如果记录的低血糖没有症状，或者如果症状是神经性血糖减少症而不是自主神经症状（即低血糖无意识），请联系他们的糖尿病护理提供者。对于复发性低血糖和/或低血糖无意识（B）的患者，可能需要上调血糖目标。·如果不明原因的低血糖频繁发生，应考虑评估未识别的乳糜泻和阿狄森病（E）。
• Patients and their parents should be trained to contact their diabetes care provider if hypoglycemia is documented without symptoms or if the symptoms are those of neuroglycopenia and not autonomic symptoms (ie, hypoglycemia unawareness).• Blood glucose goals may need to be adjusted upward in patients with recurrent hypoglycemia and/or hypoglycemia unawareness (B).• If unexplained hypoglycemia is frequent, evaluation for unrecognized celiac and Addison’s disease should be considered (E).