夢遊 原來是…血糖太低sleepwalking is too low blood sugar ...

他半夜夢遊 原來是…血糖太低 【李樹人】血糖要是降得太低，可能導致夢遊！一名罹患糖尿病的中年男子最近半夜起床，在屋內沒有意識地走動，嚇壞了家人，最後找到原因，原來是因服用傳統降血糖藥物，造成血糖降太低，才會造成半夜夢遊。 糖尿病專科醫師游新表示，控制血糖是治療糖尿病患者的主要目的，有些患者服用傳統降血糖藥物之後，因為東西吃太少，加上藥效發揮，胰島素不停地分泌，以致出現頭暈、發抖、神智不清，甚至夢遊等症狀。 「好餓！」游新表示，有人血糖太低時，會出現極餓的情況，拼了命，都想吃東西，或是餓到發暈。就算在睡覺，也會被餓醒，一定要立刻吃東西，否則大喊大叫，宛如喪失理智。 該名夢遊的中年糖尿病患者，平常服藥情況正常，血糖也控制得不錯，最近好幾次在夜裡出現夢遊，睡到一半，突然爬起來，到處走動，太太叫半天，也相應不理，病患根本不曉得自己晚上會沒有意識地趴趴走。 由於擔心夢遊可能危及健康，該名患者到神經科就診，接受了腦波檢查，結果正常，找不出原因。幾天後，他突然暈倒，被送至急診室，才發現原來血糖太低，血糖值只有16mg/dL。 游新表示，正常人飯前血糖值(mg/dL)約在40、50至90附近，16實在太低了，白天可能還沒有異狀，到了晚上，體內血糖太低，才會導致患者夢遊，嚇壞了家人，在換藥之後，血糖不再偏低，就不再夢遊了。 游新指出，近10年來，降血糖藥物的研發相當快速，新一代的口服降血糖藥物「DPP-4抑制劑」，一天服用一顆，可以幫助延長腸道荷爾蒙停留在體內作用時間，強化身體自身血糖調節能力，病患接受度高。雖然目前健保還沒給付，需自費，卻是第2型糖尿病病患的治療新福音。 游新認為，治療糖尿病需要一個良好的醫療團隊，包括醫師、護士、衛教師、營養師等成員，都要有耐心地給予病人正確的衛教觀念；病患用藥後，如果產生副作用，醫療團隊應提供協助，必要時調整用藥，如此才能幫助病人獲得最妥善的照護。 2008-11-24 The middle of the night he was sleepwalking is too low blood sugar ... Li】 【people if blood sugar dropped too low, could cause sleepwalking! A middle-aged man suffering from diabetes to get up the middle of the night recently, in the sense not to move about the house, terrified families, the last to find the reasons for that is a result of taking the traditional hypoglycemic drug, resulting in lowering blood sugar too low, giving rise to the middle of the night sleepwalking . Tour the new diabetes specialist, said the treatment is to control blood sugar in diabetic patients with the main purpose of some patients with traditional hypoglycemic drugs, because too little food, and efficacy to play, keep on insulin secretion, resulting in dizziness, trembling Unconscious, or even symptoms such as sleepwalking. "Hao E!" Said the new tour, it was too low blood sugar, there will be very hungry, Pin Leming, all want to eat something, to feel dizzy or hungry. Even in sleep, wake up will be hungry, to eat at once, or yelling, just like the loss of reason. The sleepwalking middle-aged patients with diabetes, medication usually normal circumstances, a good control of blood sugar also recently appeared several times at night in sleepwalking, sleep half of all of a sudden get up and walk around, called his wife a half-day, and ignored, Patients simply do not know their own sense of the evening will not have to Papa Zou. Sleepwalking fear may endanger the health of the patients to the neurology clinic, accepted the check brain waves, resulting in normal, can not find the reason. A few days later, he suddenly collapsed and was sent to the emergency room, it was found that low blood sugar, blood sugar level only 16mg/dL. Yu said the new, normal glucose value (mg / dL) in their forties and fifties to about 90 in the vicinity, 16 is just too small to Yizhuang during the day may not have come at night, low blood sugar in the body, patients will lead to Sleepwalking, terrified families, in the dressing, not low blood sugar, it is no longer a sleepwalking. Yu pointed out that the new, the past 10 years, hypoglycemic drug R & D very quickly, a new generation of oral hypoglycemic agents "DPP-4 inhibitor", to take a day to help extend the stay of intestinal hormones in the body time to strengthen The body's own ability to regulate blood sugar, high patient acceptance. Although no health insurance payments, to be at their own expense, but it was the first type 2 diabetes patients with the treatment of the new gospel. The new tour of the view that the treatment of diabetes need a good medical team, including doctors, nurses, health teachers, nutritionists, and other members should have the patience to give patients the right to education concepts; patient medication, if the side effects, medical Team should provide assistance, if necessary, adjust the medication, so in order to help patients get the best care. 2008-11-24 View more information, see the World Journal reported that e-ePaper

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