“低血糖”不能一味喝糖水,出现神志不清勿盲目喂食

2017-07-10 盛春君、林紫薇/上海同济大学附属第十人民院内分泌与代谢病科 澎湃新闻

低血糖,顾名思义,就是体内的血糖浓度低于正常值。对于正常人,血糖低于2.8mmol/L为低血糖。而对于我们糖尿病人,血糖低于3.9mmol/L即可诊断为低血糖。低血糖发生时往往伴随低血糖症状,如出汗、饥饿、心慌、颤抖、面色苍白等,严重者还会精神不集中、躁动、易怒甚至昏迷。怎么知道患了低血糖?糖友如果出现心慌冷汗等上述低血糖症状时,有条件时,即可检测血糖,明确低血糖后予以相关措施纠正。若无检测血糖的

低血糖,顾名思义,就是体内的血糖浓度低于正常值。对于正常人,血糖低于2.8mmol/L为低血糖。而对于我们糖尿病人,血糖低于3.9mmol/L即可诊断为低血糖。

低血糖发生时往往伴随低血糖症状,如出汗、饥饿、心慌、颤抖、面色苍白等,严重者还会精神不集中、躁动、易怒甚至昏迷。

怎么知道患了低血糖?

糖友如果出现心慌冷汗等上述低血糖症状时,有条件时,即可检测血糖,明确低血糖后予以相关措施纠正。

若无检测血糖的条件时,可以即刻进食,并观察症状是否改善。

纠正低血糖吃糖可行吗?

对于轻度低血糖患者,仅有出汗、心慌、饥饿,且神志清醒,可以食用糖水、糖果、饼干等;

如下一餐临近,也可以食用主食、点心或水果等改善血糖,并预防低血糖的再次发作。

出现神志不清时,切勿盲目喂食,以防食物误吸入肺引起吸入性肺炎或窒息。应当立即送往就近医院急救。

如何预防低血糖发生?

确保按时进餐,合理搭配每餐营养物质,避免偏食。

如果因某些特殊情况使进餐时间延迟,则需先进食饼干、面包等以补充能量,防止低血糖发生。

如果活动量较平时增大,在活动前或活动中要摄入额外的碳水化合物,随身携带糖果、饼干等食物,便于随时纠正低血糖。

低血糖患者应避免食用过多或含糖过高的食物来纠正低血糖,以避免血糖大起大落。

易发生低血糖患者饮食小攻略

1.少食多餐

一天大约吃6~8餐,交替食物种类。

2.均衡饮食

每餐最少包含50%~60%的碳水化合物,以粗粮、豆类等主食替代精白米面,多吃谷类和少油蔬菜,再搭配少量坚果、鱼或瘦肉。

3.适当忌口

严格限制单糖类如葡萄糖、蔗糖等的摄取量,少吃含糖和精白淀粉的食物,避免糖分高的水果及果汁。

4.增加高纤维饮食

高纤饮食有助于稳定血糖浓度。

由此可见,低血糖的处理是要根据具体情况因人而异的,“吃糖”并非是唯一的、合适的解决办法,在遇到低血糖症状时要有所甄别,使用最恰当的方法。并且相对于解决低血糖问题而言,预防更重要,从平时就养成良好的饮食习惯,就可减少低血糖的发生。

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    2017-07-13 lou.minghong

    学习了谢谢分享!

    0

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    2017-07-12 一个字-牛

    学习了谢谢分享

    0

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    2017-07-12 ylzr123

    认真学习,把间接经验应用到临床实践中去,然后再总结出新思路。给点赞啦

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=221736, encodeId=82c0221e3660, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Thu Jul 13 09:03:04 CST 2017, time=2017-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=221400, encodeId=7a6a221400b7, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160304/IMG56D94856B1B5D6405.jpg, createdBy=27931687771, createdName=一个字-牛, createdTime=Wed Jul 12 12:12:41 CST 2017, time=2017-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1597849, encodeId=5580159e8496e, content=<a href='/topic/show?id=2105e4128d7' target=_blank style='color:#2F92EE;'>#神志不清#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74128, encryptionId=2105e4128d7, topicName=神志不清)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=506e18545200, createdName=dongjia2016, createdTime=Wed Jul 12 08:19:00 CST 2017, time=2017-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=221254, encodeId=f05f2212542b, content=认真学习,把间接经验应用到临床实践中去,然后再总结出新思路。给点赞啦, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Jul 12 06:49:59 CST 2017, time=2017-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=221018, encodeId=098d2210183f, content=学习了谢谢了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Tue Jul 11 10:40:38 CST 2017, time=2017-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=220915, encodeId=9ae92209150a, content=学习了,谢了, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Jul 11 07:29:23 CST 2017, time=2017-07-11, status=1, ipAttribution=)]
    2017-07-11 186****0580(小山羊)

    学习了谢谢了。

    0

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    2017-07-11 惠映实验室

    学习了,谢了

    0

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