夏天,糖尿病患者必须警惕这三种病!

2016-08-21 张华 糖尿病之友

1,警惕中暑夏季如果出汗多、疲乏、恶心、头晕,可能是中暑,此时应喝些凉开水。夏天如果出现了“中暑”症状,经常规处理后症状不能缓解,一定要及时就医。为预防中暑,糖尿病患者身边应备一些防暑药品。当气温到33℃,坐着也会出汗,要注意补水。此时宜定时饮水,勿等口渴才饮水。早晨应少量、多次饮水,补充晚上水分;不宜一次性大量饮水或饮用过凉的水,忌饮含糖高的饮料和含气的饮料。一般地说,平时糖尿病患者需补水 80

1,警惕中暑


夏季如果出汗多、疲乏、恶心、头晕,可能是中暑,此时应喝些凉开水。夏天如果出现了“中暑”症状,经常规处理后症状不能缓解,一定要及时就医。


为预防中暑,糖尿病患者身边应备一些防暑药品。


当气温到33℃,坐着也会出汗,要注意补水。此时宜定时饮水,勿等口渴才饮水。早晨应少量、多次饮水,补充晚上水分;不宜一次性大量饮水或饮用过凉的水,忌饮含糖高的饮料和含气的饮料。


一般地说,平时糖尿病患者需补水 800~1000 毫升,夏季可增加到 1500~2000 毫升,以温开水、清茶为宜,或自制的无糖绿豆汤、百合汤等。


2,警惕低血糖


气候闷热、食欲不振,食物摄入量偏少;又因天气炎热、出汗多、能量消耗大,血糖更容易控制,也容易出现低血糖


对 于 血 糖 控 制 良 好 的 患 者 ( 即 糖 化 血 红 蛋 白<6.5%) , 夏天更应该多测血糖, 因为低血糖发生的机也会更大些。需要注意血糖监测。特别对老年无症状性低血糖的糖尿病患者,更应注意血糖监测,注意在两餐之间及睡前适量加餐。


3,警惕糖尿病酮症酸中毒


三伏天、天气炎热、糖尿病患者出汗多,喝水少或是呕吐、腹泻、大量失水,易诱发糖尿病酮性酸中毒或高渗性昏迷。它们是糖尿病最常见最危险的合并症,若不及时处理常导致死亡,糖尿病病友应对此病提高警惕。


糖尿病酮症酸中毒的表现为:多尿、烦渴多饮和乏力症状加重。进一步加重表现为:食欲减退、恶心、呕吐,常伴头痛、烦躁、嗜睡等症状,呼吸深快,乎气中有烂苹果味。 血糖升高,一般在16.7-33.3mmol/L。


一旦怀疑为酮症酸中毒,患者须立即去医院诊治。但在去医院以前和去医院途中,应积极做好下面5件事:继续原有胰岛素治疗,不要因为进食少而停止胰岛素注射;大量饮水,以盐水最佳;如服用双胍类药物,需要停服;每2小时监测1次血糖和尿酮体;迅速去医院或与医生联系,到达医院后,将由医生指导进行进一步的治疗。


为安然度夏,糖尿病患者需防中暑,且加强血糖监测。

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channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Aug 31 11:57:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102547, encodeId=1dbf10254ed2, content=很好的科普,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=646689478, createdName=keson, createdTime=Tue Aug 23 14:15:00 CST 2016, time=2016-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474035, encodeId=f17e14e40359c, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, 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    2016-09-20 1e10c84am36(暂无匿称)

    文章很好,非常有益

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    2016-09-12 舒心和人

    自我血糖监测对糖尿病患者很重要,避免出现急性并发症,也是控制血糖的标尺

    0

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objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-09-02 1771ae4158m

    学习了好

    0

  4. 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objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-08-31 李东泽

    这篇咨询不错哦,值得学习,对于临床工作和科研思路都很有帮助。

    0

  5. 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objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-08-31 李东泽

    这篇咨询不错哦,值得学习,对于临床工作和科研思路都很有帮助。

    0

  6. 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    2016-08-31 李东泽

    这篇咨询不错哦,值得学习,对于临床工作和科研思路都很有帮助。

    0

  7. 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objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-08-23 keson

    很好的科普,不错

    0

  8. 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  9. 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objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-08-22 知难而进

    给大家普及一下知识,学习了

    0

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channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Wed Aug 31 11:57:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102547, encodeId=1dbf10254ed2, content=很好的科普,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=646689478, createdName=keson, createdTime=Tue Aug 23 14:15:00 CST 2016, time=2016-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474035, encodeId=f17e14e40359c, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Tue Aug 23 10:48:00 CST 2016, time=2016-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102269, encodeId=fa35102269de, content=给大家普及一下知识,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160811/IMG57AC91915ACA64463.jpg, createdBy=9c351934462, createdName=知难而进, createdTime=Mon Aug 22 15:04:00 CST 2016, time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102175, encodeId=5af21021e535, content=很好的科普学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Mon Aug 22 09:53:00 CST 2016, time=2016-08-22, status=1, ipAttribution=)]
    2016-08-22 茶马古道

    很好的科普学习!

    0

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