The consequences of hypoglycaemia

被引:125
作者
Amiel, Stephanie A. [1 ]
机构
[1] Kings Coll London, Fac Life Sci & Med, Sch Life Course Sci, Dept Diabet, London, England
关键词
Diabetes mellitus; Hypoglycaemia; Review; PRO-ATHEROTHROMBOTIC BIOMARKERS; RECURRENT SEVERE HYPOGLYCEMIA; ANTECEDENT HYPOGLYCEMIA; COGNITIVE PERFORMANCE; CARDIAC-ARRHYTHMIAS; IMPAIRED AWARENESS; ADULT PATIENTS; TYPE-1; INSULIN; UNAWARENESS;
D O I
10.1007/s00125-020-05366-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypoglycaemia (blood glucose concentration below the normal range) has been recognised as a complication of insulin treatment from the very first days of the discovery of insulin, and remains a major concern for people with diabetes, their families and healthcare professionals today. Acute hypoglycaemia stimulates a stress response that acts to restore circulating glucose, but plasma glucose concentrations can still fall too low to sustain normal brain function and cardiac rhythm. There are long-term consequences of recurrent hypoglycaemia, which are still not fully understood. This paper reviews our current understanding of the acute and cumulative consequences of hypoglycaemia in insulin-treated diabetes.
引用
收藏
页码:963 / 970
页数:8
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