糖尿病会引起我的恶心吗？

6个恶心的常见原因

Factors related to your diabetes may cause you to experience nausea.

药物

Metformin(Glucophage) is one of the more common medications used to treat diabetes. Nausea is a potential side effect for people taking this medication. Taking metformin on an empty stomach may make nausea worse.

Recall of metformin extended release

In May 2020, the Food and Drug Administration (FDA) 建议一些二甲双胍扩展释放的制造商从美国市场上删除了一些平板电脑。这是因为在一些扩展的释放二甲双胍片中发现了可能的可能的致癌物（引起癌症）的不可接受的水平。

如果您目前服用这种药物，请致电您的医疗保健专业人员。他们将建议您是否应该继续服用药物或需要新的处方。

用于治疗糖尿病的可注射药物，例如艾鉴定（Byetta），liraglutide（Victoza），pramlintide(Symlin), and otherglucagon-like peptide-1 (GLP-1) agonists可能 引起恶心 。

扩展使用后，恶心可能会消失。恶心的持续时间和严重程度取决于人。您的医生可能还会开始使用较低的剂量，以减少或消除恶心。

低血糖和高血糖

高血糖（血糖水平升高）或低血糖（太低的血糖水平）可能会引起恶心。检查您的血糖并适当反应，如果您怀疑非典型的血糖水平。

为避免低血糖和高血糖，请跟随您的diabetes meal plan，监测血糖，并按照处方服用药物。

You should also avoid exercising in extreme temperatures and keep cool by drinking cold liquids during outside activities, advises Sheri Colberg, PhD, author, exercise physiologist, and expert on diabetes management.

Diabetic ketoacidosis

严重的恶心可能是diabetic ketoacidosis。这是一种危险的医疗状况，必须治疗以避免昏迷甚至死亡。症状包括：

• nausea
• excessive thirst
• 尿频
• abdominal pain
• 弱点或疲劳
• shortness of breath
• confusion
• 水果味的呼吸

If you suspect diabetic ketoacidosis, seek immediate medical attention.

预防糖尿病性酮症酸中毒：

• 监测您的血糖水平
• 按照处方服用药物
• 测试您的尿液酮水平during periods of illness or high stress

胃轻瘫

胃轻瘫is a gastrointestinal complication. It prevents typical emptying of the stomach, which delays digestion of food and can cause nausea. If you have diabetes, you may have an increased risk of developing gastroparesis.

Symptoms of gastroparesis include:

• nausea
• heartburn
• loss of appetite
• upper abdominal pain
• 腹部肿胀
• 血糖水平的变化
• 营养不良

There is no cure for gastroparesis, but there are things you can do to manage the symptoms.

尝试进食 several small meals during the day instead of three large meals. Avoid lying down after meals. Instead, take a walk or sit. This will help with digestion.

您的医生还可以调整胰岛素剂量，或者建议在进餐后而不是在进食前服用胰岛素。

Pancreatitis

患有糖尿病的人有更高的发展机会胰腺炎。Pancreatitis is a swelling and inflammation of the pancreas and may cause nausea. Vomiting, abdominal pain, and high triglyceride levels often accompany the nausea.

保持健康的饮食可能有帮​​助 prevent or manage 胰腺炎。避免 alcohol and smoking 可能also help.

人造甜味剂和糖醇

In an attempt to manage blood sugars, many people with diabetes turn to artificial sweeteners and sugar alcohols to minimize their regular sugar intake.

但是，添加甜味剂的常见副作用，例如 xylitol , is nausea, as well as other digestive symptoms. When someone has more than one serving per day, the side effects may be amplified.

阿斯巴甜,一个受欢迎的人工甜味剂,可以引起恶心。

知道迹象保持正轨

If you have diabetes, nausea can be a sign of something more serious. Knowing the potential causes and how to treat or prevent this uncomfortable side effect is key to keeping your diabetes management on track.