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src="https://file.bohe.cn/fhfile1/M00/7A/2E/o4YBAGhSWMyAcJPjAAYGfevnKQs617.jpg"></p><p>1、胰島素分泌不足</p><p>隨著年齡增長(zhǎng)，胰島β細(xì)胞功能逐漸衰退，導(dǎo)致胰島素分泌減少。胰腺炎或胰腺手術(shù)史可能加速這一過(guò)程。這種情況需要定期監(jiān)測(cè)血糖，必要時(shí)在醫(yī)生指導(dǎo)下使用胰島素促泌劑或外源性胰島素治療。</p><p>2、飲食結(jié)構(gòu)不合理</p><p>長(zhǎng)期攝入高糖高脂食物會(huì)加重胰島負(fù)擔(dān)。精制米面、含糖飲料等食物升糖指數(shù)較高，容易造成餐后血糖飆升。建議增加全谷物、蔬菜等富含膳食纖維的食物比例，采用少量多餐的進(jìn)食方式。</p><p>3、缺乏運(yùn)動(dòng)</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/7A/77/ooYBAGhSWMyAf5J6AAJP11aAOYs535.jpg"></p><p>久坐不動(dòng)會(huì)降低肌肉組織對(duì)葡萄糖的攝取利用率。每周進(jìn)行適度有氧運(yùn)動(dòng)有助于改善胰島素敏感性。適合老年人的運(yùn)動(dòng)包括快走、太極拳、游泳等，但需避免空腹運(yùn)動(dòng)導(dǎo)致低血糖。</p><p>4、慢性疾病影響</p><p>高血壓、高血脂等代謝性疾病常與高血糖并存，相互影響形成惡性循環(huán)。甲狀腺功能異常、庫(kù)欣綜合征等內(nèi)分泌疾病也可能干擾糖代謝。這類(lèi)情況需要針對(duì)原發(fā)病進(jìn)行綜合治療。</p><p>5、藥物</p><p>糖皮質(zhì)激素、利尿劑等藥物可能干擾糖代謝。使用這類(lèi)藥物期間應(yīng)加強(qiáng)血糖監(jiān)測(cè)，必要時(shí)調(diào)整用藥方案。切忌自行停藥或換藥，所有調(diào)整都應(yīng)在醫(yī)生指導(dǎo)下進(jìn)行。</p><p>老年人血糖管理需要綜合干預(yù)。除規(guī)范用藥外，建議每日定時(shí)監(jiān)測(cè)血糖，記錄飲食和運(yùn)動(dòng)情況。飲食上控制總熱量攝入，優(yōu)先選擇低升糖指數(shù)食物，保證優(yōu)質(zhì)蛋白和膳食纖維攝入。適度運(yùn)動(dòng)以微微出汗為宜，避免劇烈運(yùn)動(dòng)。定期進(jìn)行糖化血紅蛋白檢測(cè)和并發(fā)癥篩查，及時(shí)發(fā)現(xiàn)并處理異常情況。保持規(guī)律作息和良好心態(tài)也有助于血糖控制。</p></div> <div id="lfqr6l5uj" class="f24 fc9 lh40 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