Postprandial reactive hypoglycaemia in a very old patient.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2014-08-01 Epub Date: 2014-06-10 DOI:10.1179/2295333714Y.0000000026
C Deliens, Cl Losseau, B Vandeleene, B Boland
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引用次数: 1

Abstract

Objective and importance: Postprandial reactive hypoglycaemia (PRH) is a clinical syndrome characterized by the recurrence of symptomatic hypoglycaemia during postprandial periods. PRH remains a diagnostic challenge for clinicians, because of its atypical manifestations and low prevalence, especially in older persons.

Clinical presentation: We report the diagnostic work-up of severe hypoglycaemic episodes in a very old patient in whom the diagnosis of PRH was made.

Intervention: We prescribed acarbose, an alpha-glucosidase inhibitor, to this patient to prevent the recurrence of hypoglycaemic episodes. Four years later, acarbose was always used and no further episode of hypoglycaemia had occurred. Based on the literature, we discuss the limited value of endocrine tests as well as the efficacy of the therapeutic approaches.

Conclusion: Prescription of acarbose is useful in addition to nutritional education, the corner stone of the treatment, to avoid the recurrence of severe hypoglycaemic events due to PRH.

高龄患者餐后反应性低血糖1例。
目的和重要性:餐后反应性低血糖(PRH)是一种以餐后症状性低血糖复发为特征的临床综合征。由于其非典型表现和低患病率,特别是在老年人中,PRH仍然是临床医生的诊断挑战。临床表现:我们报告的诊断工作严重低血糖发作在一个非常老的病人中,诊断为PRH作出。干预:我们给该患者开了阿卡波糖,一种α -葡萄糖苷酶抑制剂,以防止低血糖发作的复发。四年后,一直使用阿卡波糖,没有再发生低血糖。在文献的基础上,我们讨论内分泌测试的有限价值以及治疗方法的疗效。结论:在营养教育的基础上给予阿卡波糖治疗,可有效避免PRH所致严重低血糖事件的复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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