【摘要】 目的 探讨老年2型糖尿病发生低血糖的原因、临床特点及如何预防避免等。方法 对24例≥60岁2型糖尿病患者低血糖症发生的相关资料进行回顾性分析并加以总结。结果 24例患者低血糖常见原因有老年、降糖药物不合理应用、生活不规律、病程及低血糖的应激能力、夜间发生、药物种类及使用不当等。临床上多表现为典型低血糖症状如面色苍白、出冷汗、四肢乏力、手抖等交感神经兴奋临床表现，也可以表现为脑部症状，甚至无任何症状，很容易引起误诊及漏诊。结论 老年2 型糖尿病患者易出现低血糖症且症状不典型, 易漏诊、误诊, 临床医生应根据该类患者发生低血糖症的特点, 注意观察及时调整用药和治疗, 以防可能引起的不可逆性损害.

    【关键词】 老年；2型糖尿病;低血糖

    【Abstract】 Objective To investigate elderly type 2 diabetic hypoglycemia causes, clinical features and how to prevent avoidance. Methods 24 patients ≥ 60 years with type 2 diabetes,related hypoglycemia were retrospectively analyzed and summarized. Results 24 patients, the elderly were common reasons for hypoglycemia, hypoglycemic drug unreasonable application of, irregular life, duration of stress and low blood sugar ability to happen overnight, and the use of improper drug type. Typical clinical manifestations of hypoglycemia like a pale, cold sweats, limb weakness, tremor and other clinical manifestations of sympathetic activity, also showed symptoms of the brain, even without any symptoms, can easily lead to misdiagnosis and missed diagnosis. Conclusion In elderly type 2 diabetic patients prone to hypoglycemia and the symptoms are not typical, easily missed, misdiagnosed, clinicians should be based on the characteristics of hypoglycemia in these patients, to observe the timely adjustment of medication and treatment, to prevent the possible cause of irreversible of damage. ......