在没有糖尿病的门诊患者中评估无症状的禁食低血糖症
Tomás González-Vidal1, Óscar Lado-Baleato2, Carmen Fernández-Merino2
1From the Department of Endocrinology and Nutrition, Hospital Universitario Central de Asturias/University of Oviedo, Spain (TGV, JA, ED, EMT); Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Oviedo, Spain (TGV, JA, ED, EMT); Department of Medicine, University of Oviedo, Spain (TGV, JA, ED, EMT); Research Methods Group (RESMET), Health Research Institute of Santiago de Compostela (IDIS, ÓLB, FG); Santiago de Compostela, Spain (OLB, CFM, JSC, MAS); ISCIII Support Platforms for Clinical Research, Health Research Institute of Santiago de Compostela, Spain (OLB); A Estrada Primary Care Center, A Estrada, Spain (CFM, JSC); Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPSISCIII), Santiago de Compostela, Spain (CFM, JSC, MAS, FG); Centre for Biomedical Network Research on Rare Diseases (CIBERER), Instituto de Salud Carlos III, Madrid, Spain (ED, EMT); Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain (CFM, FG); and Concepción Arenal Primary Care Center, Santiago de Compostela, Spain (FG). uo302763@uniovi.es).
在例行检查中发现的轻度无症状低血糖症不是疾病的迹象,不需要进一步的医学调查. 这一发现是基于对1333名没有糖尿病的人进行的研究.
科学领域:
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
- 临床诊断 临床诊断 临床诊断
背景情况:
- 在例行检测期间偶然检测到的无症状低血糖症的临床意义仍然没有研究.
- 低血糖症,定义为禁食血清葡萄糖<70 mg/dL,可以发生在没有糖尿病的人身上.
研究的目的:
- 调查非糖尿病人群中低血糖的流行情况.
- 为了确定与低血糖相关的人口,生活方式和代谢因素.
- 评估偶然检测到的无症状低血糖症的临床意义和长期结果.
主要方法:
- 一组1333名没有糖尿病的个人接受了基线禁食血清葡萄糖测试.
- 患有低血糖症的个体被随访了平均8.7年,并对症状进行了评估.
- 在489个人的子样本中进行了持续的葡萄糖监测.
主要成果:
- 基线低血糖症的加权患病率为1.58%,影响了20人.
- 所有低血糖病例均为轻度 (中位数为67 mg/dL) 和无症状.
- 低血糖与女性性别,年龄较小和更有利的代谢状况有关.
- 持续的葡萄糖监测没有显示出明显的低血糖模式.
- 在随访期间,轻度低血糖症在42.1%的个体中复发,但没有人表现出与惠普尔三位一体一致的症状.
结论:
- 在例行血液检查中偶然检测到的无症状,轻度低血糖症并不是潜在疾病的迹象.
- 这种发现通常不需要进一步的调查.
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