How is hypoglycemia caused in the elderly?

summary

Hypoglycemia is suffered by many white-collar workers. There are many white-collar workers around us who have a bad body because of their busy work. We are all familiar with hypoglycemia, but many people still don't know what causes hypoglycemia. Let's introduce it in detail.

How is hypoglycemia caused in the elderly?

There are many causes of hypoglycemia. According to statistics, there are as many as 100 diseases, and other causes are still being found in recent years. The disease can be roughly divided into organic hypoglycemia（ It refers to primary lesions of islets and extrapancreas, resulting in excessive secretion of insulin, C-peptide or insulin-like substance; Functional hypoglycemia (no primary disease, but due to nutrition and drug factors, etc.); Reactive hypoglycemia (refers to patients with autonomic nerve dysfunction, vagus nerve excitation, resulting in a corresponding increase in insulin secretion, resulting in clinical manifestations of hypoglycemia).

44 (0.4%) of 10314 autopsies were confirmed as insulinoma. Normal blood glucose is regulated by many factors, such as central nervous system, endocrine gland, liver, gastrointestinal, nutrition, exercise and so on. Glucagon, epinephrine, adrenocortical hormone, growth hormone, thyroxine and some gastrointestinal hormones are the glucocorticoids. Insulin and C-peptide are the only antidiabetic hormones. Blood glucose can also be affected by many physiological factors, such as fasting for 48-72 hours, strenuous exercise, drinking, lactation can cause hypoglycemia, neonatal and elderly blood glucose is often low and so on. Hypoglycemia can also be caused by long-term inadequate glucose intake or malabsorption. Hypoglycemic syndrome can be induced by the decrease of liver glycogen reserve, the decrease of liver glycogen decomposing enzyme, the deficiency of hormone promoting blood glucose rise, the increase of insulin, C-peptide or other hypoglycemic substances, the excessive consumption of blood glucose by tissues, and some toxic factors such as salicylic acid and mushroom poisoning.

Hypoglycemia is not the essence of disease diagnosis, it is a sign of glucose metabolism disorder. If the blood glucose level is lower than the normal range, it can be diagnosed as hypoglycemia. The common hypoglycemia can be divided into: 1) fasting (fasting) hypoglycemia; 2) fasting (fasting) hypoglycemia; ② Postprandial (reactive) hypoglycemia; ③ Drug induced hypoglycemia.

matters needing attention

Exercise should be banned for any disease with the aura of ketoacidosis. It is not suitable for patients with high blood sugar during exercise. When the fasting blood glucose of patients with severe diabetes is above 16.8 mmol / L (300 mg%), exercise is easy to cause ketoacidosis, so exercise should be avoided. For such patients, special attention should be paid to prevent hypoglycemia. Exercise should avoid the peak time of drugs, when necessary, carry sugar food, such as hypoglycemia symptoms can be taken at any time.