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患者男性,50岁主诉口渴、多饮、多尿8个月现病史患者8个月前无明显诱因出现口渴、多饮、多尿,于当地医院检查空腹血糖10.6mmol/L,糖化血红蛋白8.8%,被诊断为2型糖尿病。医生给予二甲双胍和格列本脲治疗,2个月前复查糖化血红蛋白7.4%,此时降糖药用量为二甲双胍500mgTid、格列本脲5mgBid。患者于1个月前来本院就诊,建议其开始胰岛素治疗,因患者对胰岛素治疗有抵触,经劝解同意尝试胰岛素每日一次注射,治疗方案为门冬胰岛素30晚餐前12U,二甲双胍
Male patient, 50 years old, chief complaint of thirst, polydipsia, polyuria, 8-month history of the patient 8 months ago, there was no obvious incentive to thirst, polydipsia, polyuria, check the local hospital fasting blood glucose 10.6mmol / L, glycosylated hemoglobin 8.8%, was diagnosed with type 2 diabetes. Doctors given metformin and glyburide treatment, review of glycosylated hemoglobin 7.4% 2 months ago, when the amount of hypoglycemic agents metformin 500mgTid, glibenclamide 5mgBid. Patients came to our hospital 1 month ago, suggesting that they start insulin therapy, because patients contradict insulin therapy, after persuasion agreed to try a daily injection of insulin, treatment regimen aspart 30 insulin before dinner 12U, metformin