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患者男性,52岁主诉多饮、多尿、乏力5年,低血糖频发1个月。现病史患者5年前无明显诱因出现多饮、多尿、乏力,到社区医院就诊,查空腹血糖11.8mmol/L,诊断为2型糖尿病,给予格列本脲2.5mg Bid,二甲双胍250mg Bid治疗,剂量逐渐增加至格列本脲5mg Bid,二甲双胍500mg Tid,血糖控制不理想,空腹血糖9.0~10.0mmol/L,餐后2小时血糖14.0~16.0mmol/L。3个月前,患者到
Male patients, 52-year-old chief complaint of drink more, more urine, fatigue for 5 years, low blood sugar frequency of 1 month. History of patients with 5 years ago, there was no obvious incentive to drink more, polydipsia, fatigue, to the community hospital, check fasting blood glucose 11.8mmol / L, diagnosed with type 2 diabetes, given glibenclamide 2.5mg Bid, metformin 250mg Bid treatment , The dose gradually increased to glibenclamide 5mg Bid, metformin 500mg Tid, blood glucose control is not satisfactory, fasting blood glucose 9.0 ~ 10.0mmol / L, 2 hours postprandial blood glucose 14.0 ~ 16.0mmol / L. 3 months ago, the patient arrived