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患者男,59岁。患者患糖尿病9年,期间服达美康(Diamicron,甲磺吡脲商品名)80mg每日三次持续治疗,空腹血糖(FBG)控制在5.6mmol/L左右。1989年8月初反覆出现早餐前头昏、心慌,经进食方能缓解。同年8月9日晨上述症状又再发作并伴大汗,未及进食即出现意识丧失、四肢发凉,即送本院急诊,经静脉注射葡萄糖溶液后意识转清醒。此后嘱将达美康改为80mg每日二次(早、晚餐后服),患者仍有早餐前饥饿、心慌感。经查FBG2.1mmol/L,而餐后2小
Male patient, 59 years old. Patients with diabetes mellitus for 9 years, during which the dose of 80mg Diamicron (mepivudine name) 80mg daily treatment, fasting blood glucose (FBG) control at about 5.6mmol / L. Early August 1989 repeated dizziness before breakfast, palpitation, after eating can ease. On the morning of August 9, the same morning, the above-mentioned symptoms developed again with sweating. Without consciousness, there was loss of consciousness and coldness in the extremities, which was sent to our hospital for emergency treatment. After intravenous injection of glucose solution, consciousness turned to awake. Since then Daimeikang changed to 80mg twice daily (morning and evening suits), patients still have hunger before breakfast, feeling of panic. The investigation FBG2.1mmol / L, while 2 small meals