What causes diaphoresis in diabetic patients?
May 16, 2023
Source: Cainiu Health
Dr. Pan Yongyuan
Introduction
Diabetic patients experiencing spontaneous sweating may have adjusted their medication dosage without medical guidance, leading to increased insulin sensitivity and enhanced glucose utilization, which can result in low blood sugar levels and trigger hypoglycemia, causing symptoms such as fatigue and cold sweats. Elevated stress levels can affect the brain's autonomic nervous system, disrupting normal functions of sweat glands and nerves. Infection with Mycobacterium tuberculosis can lead to tuberculosis.
Excessive sweating in diabetic patients may be caused by medication effects, autonomic neuropathy, tuberculosis infection, or other reasons. It is recommended to identify the underlying cause and receive targeted treatment. Specific analyses are as follows:
1. Medication effects
When diabetic patients take hypoglycemic medications, failure to follow medical instructions or私自 adjusting dosages may increase insulin sensitivity and glucose utilization, leading to low blood sugar (hypoglycemia), which can trigger symptoms such as fatigue and cold sweats. In such cases, dosage adjustments should be made, or patients should consult their doctor about switching to another type of medication.
2. Autonomic neuropathy
If a diabetic patient's blood glucose remains uncontrolled over a long period, elevated pressure can affect the brain's autonomic nerves, disrupting normal function of sweat glands and nerves, resulting in excessive sweating. In such cases, blood glucose should be properly controlled under medical guidance, and neurotrophic medications such as oryzanol tablets or vitamin B1 tablets may be prescribed.
3. Tuberculosis infection
Diabetic patients often have weakened immunity. If infected with Mycobacterium tuberculosis, they may develop tuberculosis, presenting symptoms such as fever, chills, night sweats, and loss of appetite. In such cases, anti-tuberculosis medications should be taken as prescribed by a physician, such as isoniazid tablets or rifampicin tablets.
In addition to the common causes mentioned above, other possibilities such as nervous system disorders or hyperthyroidism cannot be ruled out. Patients experiencing the above symptoms should promptly visit a hospital for appropriate diagnostic evaluations.
