Cirrhosis of the liver glucose metabolism disorder old!
The liver is the storage and gluconeogenesis to the main site is to maintain a relatively constant blood sugar, one of the major organs. When diffuse liver disease secondary to glucose metabolism disorder, manifested as impaired glucose tolerance or hepatic diabetes. As the older of the liver and pancreas morphology and function in it will easily result in Huangan Bing glucose metabolism disorders.
1. The incidence of liver-derived principles of diabetes-induced diabetes may occur in the liver and liver enzymes (glucose kinase, glycogen synthase, hexokinase, phosphofructokinase, etc.) decreased activity, increased concentrations of insulin antagonistic hormone, insulin and hypoglycemic the role of glucose and intake of high-sugar diet, as liver protection measures, the use of corticosteroids and diuretics, chronic liver disease, low potassium and other relevant.
2. Elderly clinical features of hepatic diabetes aged hepatic cirrhosis due to chronic diabetes often more prominent and the obscure clinical manifestations of clinical symptoms of diabetes, or the weight loss, fatigue, dry mouth, poor nutritional status and other symptoms go due to liver disease. Some patients have significant dry mouth, polydipsia, urinary symptoms.
Due to liver dysfunction, multi-performance in eating rare; liver-derived diabetes with ketoacidosis and non-ketotic hyperosmolar coma are rare; retinopathy and neuropathy in the rate of low-fat beef; merge of diabetic nephropathy compared with rare; and high blood pressure, the incidence of atherosclerosis in patients with cirrhosis and non-diabetic elderly the same as lower than that in patients with primary diabetes mellitus.
3. Treatment principles
The elderly diabetic liver prototype focused on the treatment of aggressive treatment of liver disease. Diet may be appropriate to a wide sense of anger in order to avoid inadequate nutrient intake. The elderly patients with liver cirrhosis even after all kinds of therapy, but often protracted course of unhealed.
Overall prognosis is poor old liver cirrhosis, a high fatality rate. Of elderly patients with liver cirrhosis should be detailed and thorough examination, done early diagnosis, early treatment to carry out organ to monitor, prevent failure, to strengthen support for therapy, rational use of medicines to facilitate the extension of the patient’s life.