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本文报告两例肾性糖尿病人误诊为糖尿病长达33年与51年,在此期间病人一直使用不纯的长效胰岛素制剂。例1于1946年发现尿糖,即开始饮食疗法及可溶性胰岛素,最初有饥饿感,一个月后又改用精蛋白锌胰岛素120单位/日。低血糖症状消失。以后长期使用,至1977年病人不断出现低血糖发作。1979年始确诊为肾性糖尿而停用胰岛素。检查病人的周围血管、
This article reports two patients with diabetes mellitus who have been misdiagnosed as having diabetes for 33 years and 51 years. During this period, patients have been using impure long-acting insulin formulations. Example 1 Urine was found in 1946, that is, diet therapy and soluble insulin were started. The initial feeling of hunger was changed to 120 units / day of protamine zinc insulin one month later. Hypoglycemia disappears. After long-term use, to patients in 1977 continued hypoglycemic episodes. 1979 initial diagnosis of renal diabetes and disable insulin. Check the patient’s peripheral blood vessels,