林某,男,64岁,诊断糖尿病Ⅱ型。门诊给予降糖灵25mg tid po,用药一周后,观察无明显不良反应,采用每隔数日递加25mg,直至每日总量为150mg。在连续服用降糖灵30天后,血糖测定虽接近正常,但患者自感症状并未改善,特别近一周纳差、乏力及嗜睡等症状较治疗前有所加重,且伴有恶心,肝区隐痛不适等 Lin, male, 64 years old, diagnosed with type Ⅱ diabetes. Outpatient given hypoglycemic 25mg tid po, ​​a week after treatment, no significant adverse reaction observed, using every few days plus 25mg, until the daily total amount of 150mg. In the continuous taking hypoglycemic 30 days, although blood glucose was close to normal, but the patient’s symptoms did not improve self-symptoms, especially in the past week anorexia, fatigue and lethargy and other symptoms worsened than before treatment, and associated with nausea, liver pain and discomfort, etc.