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糖尿病症状消失不一定是好事
发布时间:2009-07-13 05:48     来源:君健网

    专家指出,有时糖尿病症状突然消失,也并非就是好事。有时患了脑垂体瘤,就可能出现糖尿病症状消失。

    人体的脑垂体前叶分泌促肾上腺皮质激素、促甲状腺激素和生长激素,这些激素作用于肾上腺和甲状腺,使人体内肾上腺皮质激素与甲状腺激素分泌增多,直接促使血糖升高;生长激素还通过抑制葡萄糖激酶而产生抗胰岛素作用,使血糖增高。当垂体发生肿瘤时,有关功能下降,引起生长激素、肾上腺皮质激素及甲状腺素的分泌减少,血糖值随之下降。此时,糖尿病患者的症状可自动减轻甚至消失。

    这类患者对胰岛素比较敏感,易产生血糖下降且不稳定,甚至有严重的低血糖表现。还可以发生畏寒怕冷、毛发干枯、脱落、食欲不振、性欲减退、月经不调甚至闭经、血压偏低等肾上腺皮质机能、甲状腺机能与性腺机能减退的一系列症状。

    临床上,除对垂体肿瘤进行积极治疗外,可给患者适当服用一些强的松、甲状腺素及性激素,应尽量避免使用胰岛素。如出现低血糖或肾上腺皮质机能减退危象时,在输入葡萄糖的同时,应使用强的松及补充钠盐。

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