急诊每日一题血糖正常糖尿病酮症酸中毒

Question问题:

HyperglycemiainDKAistypicallyinthe-mg/dLrange.EuglycemicDKAhasbeendescribedinseveralpopulations.Namethem.

糖尿病酮症酸中毒(DKA)时的高血糖通常是在-mg/dl(19.4-27.8mmol/L)范围。正常血糖DKA可以在几种患者中出现。说出有哪几种?

Answer答案:

EuglycemicDKAhasbeendescribedin:ThoseonSGLT2inhibitors,withpoororalintakeorstarvation,treatmentwithinsulinpriortoarrival,alcoholintoxication,liverdisease,glycogenstoragediseases,andpregnantwomen.

正常血糖DKA可在下列患者中发生:服用钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂,进食不佳或饥饿,就诊前用了胰岛素,酒精中毒,肝病,糖原储存病,和孕妇。

参考文献:

JEM,epub,8/4/20

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