BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 高血糖的高危因素
  • 低血糖的高危因素
  • 糖尿病病史
  • 低血糖症状

其他诊断因素

  • 近期糖皮质激素使用史
  • 多尿,多饮或非刻意的体重减轻
  • 糖尿病视网膜病变的体征
  • 糖尿病肾脏病变的体征

危险因素

  • 危重病(高血糖或低血糖)
  • 糖皮质激素应用(高血糖)
  • 糖尿病患者血糖控制不佳(高血糖)
  • 胰岛素治疗(低血糖)

诊断性检查

首要检查

  • 随机血糖
  • HbA1c
  • 血清尿素氮,肌酐,估算肾小球滤过率(GFR)
  • 尿白蛋白/肌酐比值
全部具体信息

需要考虑的检查

  • 出院后空腹血糖或糖化血红蛋白
  • 出院后口服葡萄糖耐量试验
全部具体信息

治疗流程

贡献者

M. Cecilia Lansang MD, MPH

Associate Professor of Medicine

Director

Inpatient Diabetes Service

Department of Endocrinology

Diabetes and Metabolism Cleveland Clinic

Cleveland

OH

利益冲突披露
MCL declares that she has no competing interests.

Endocrinology Section

Orlando Veterans Administration Medical Center

Clinical Associate Professor

Department of Medicine

University of Central Florida College of Medicine

Orlando

FL

利益冲突披露
SQ declares that she has no competing interests.

Dr M. Cecilia Lansang and Dr Suzanne Quinn would like to gratefully acknowledge Dr Ajay Rao and Dr Vivian Fonseca, previous contributors to this monograph. AR and VF declare that they have no competing interests.

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Professor of Medicine

Division of Endocrinology

Metabolism and Lipids

Emory University School of Medicine

Atlanta

GA

利益冲突披露
GEU is an author of a number of references cited in this monograph.

Consultant Diabetologist

Beta Cell Unit

Chelsea and Westminster NHS Trust

London

UK

利益冲突披露
DM declares that he has no competing interests.

Senior Lecturer in Medicine

National University of Ireland

Consultant in Diabetes and Endocrinology

Galway University Hospitals

Galway

Ireland

利益冲突披露
SD declares that he has no competing interests.

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