患者女性,62岁主诉口渴、多饮、多尿6年。现病史患者6年前无明显诱因出现口渴、多饮、多尿,于当地医院诊断为2型糖尿病,当时空腹血糖9.8mmol/L,糖化血红蛋白8.4%,医生给予格列美脲和二甲双胍治疗,糖化血红蛋白控制在7%~7.5%。1年前,血糖控制逐渐恶化,开始加用基础胰岛素治疗,给予甘精胰岛素睡前注射,目前药物用量为甘精胰岛 Female patient, 62-year-old chief complaint thirst, drink more, polyuria 6 years. History of patients with history 6 years ago, no obvious incentive to thirst, polydipsia, polyuria, diagnosed with type 2 diabetes in the local hospital, when fasting blood glucose 9.8mmol / L, glycosylated hemoglobin 8.4%, the doctor given glimepiride and metformin treatment , Glycosylated hemoglobin control in 7% ~ 7.5%. A year ago, blood glucose control gradually deteriorated, began to add basal insulin therapy, given glargine injection at bedtime, the current dose of insulin glargine