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Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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阿法斯状态发症并发症 超球性高糖血症状态

Omar Bokhari1, Sarah Alqhtani2,3, Laila Alqahtani4

  • 1Department of Medicine (Neurology), Dalhousie University, Halifax, Nova Scotia, Canada.

Practical neurology
|December 4, 2025
PubMed
概括

超的高糖血症状态,糖尿病紧急情况,可以导致失语状态,一种罕见的语言障碍. 用胰岛素和抗发作药物的及时治疗可以带来显著的恢复.

关键词:
糖尿病是什么意思 糖尿病是什么意思这种疾病的发作是Epilepsy.

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科学领域:

  • 神经学 神经学
  • 内分泌学 在内分泌学.
  • 代谢障碍 代谢障碍 代谢障碍

背景情况:

  • 阿法斯状况 (ASE) 是一种罕见的神经并发症,是超小胞性高血糖状态 (HHS) 的神经并发症.
  • HHS是糖尿病中严重的代谢紧急情况,其特征是高血糖和脱水.
  • ASE表现为语言障碍与保存的意识,复杂的诊断.

研究的目的:

  • 描述一个异位状态的病例,后续的超小胞性高糖血症状态.
  • 要突出失控糖尿病的神经表现.
  • 审查关于这个未被认可的临床实体的文献.

主要方法:

  • 一个66岁的男性患有2型糖尿病,发言能力下降的病例报告.
  • 电脑电图 (EEG) 确认非状态.
  • 磁共振 (MR) 脑成像,以评估神经系统的变化.

主要成果:

  • 患者表现出逐渐下降的语音和受损的协调能力.
  • 脑电图证实了非的状态.
  • 核磁共振成像揭示了短暂的左变化和后来的海马缩.
  • 用胰岛素和 levetiracetam 治疗导致显著的恢复.

结论:

  • 超的高血糖状态是阿法斯状态的可逆原因.
  • 失控的糖尿病可以呈现出各种神经系统症状.
  • 早期诊断和管理对于与HHS相关的ASE的良好结果至关重要.