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患者女性,61岁主诉血糖升高10年。现病史患者10年前因乏力、多饮多尿在当地医院就诊,查随机血糖12.8mmol/L,被诊断为2型糖尿病。患者曾先后服用二甲双胍、格列本脲、格列吡嗪、阿卡波糖、罗格列酮等多种口服降糖药,具体用量不详,后因血糖控制不佳,尤其是餐后血糖控制差,于1年前开始接受胰岛素治疗,同时继续服用二甲双胍。因使用预混人胰岛素50R偶尔出现低血糖,患者3个月前来本院就诊,改为门冬胰岛素50每日两次
Female patients, 61-year-old chief complaint of elevated blood glucose for 10 years. Current history of patients 10 years ago due to fatigue, polydipsiuria at a local hospital for treatment, check random blood glucose 12.8mmol / L, was diagnosed with type 2 diabetes. Patients have been taking metformin, glyburide, glipizide, acarbose, rosiglitazone and other oral hypoglycemic agents, the specific amount is unknown, due to poor blood sugar control, especially after the blood glucose control Poor, began receiving insulin therapy 1 year ago, while continuing to take metformin. Because of the occasional hypoglycemia on premixed human insulin 50R, patients were referred to our hospital 3 months ago and changed to insulin 50 aspart twice daily