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患者女性,68岁主诉多饮多尿伴体重减轻12年,视物模糊3年,右足趾出现水疱5天。现病史患者9年前因口渴多饮,于当地医院测血糖达到WHO糖尿病诊断标准,被诊断为2型糖尿病。患病数年内口服二甲双胍.磺脲类药物治疗,于3年前因血糖高、脑梗塞开始应用重合林M30每日2次治疗(早14U晚12U)。近1年来血糖控制不佳,空腹血糖9.0~10.0mmol/L,餐后2小时血糖11.0~12.0mmol/L。5天前右足趾出现水
Female patients, 68-year-old chief complaint polyhydric urine with weight loss 12 years, blurred vision 3 years, the right toe blisters 5 days. History of patients with history of 9 years ago, thirsty and more drink, measured blood sugar at the local hospital to WHO diabetes diagnostic criteria, was diagnosed with type 2 diabetes. Suffering from years of oral metformin sulfonylurea therapy, three years ago due to high blood sugar, cerebral infarction began to apply coincidental M30 2 times a day (14U late as early as 12U). Nearly 1 years of poor blood glucose control, fasting blood glucose 9.0 ~ 10.0mmol / L, 2 hours postprandial blood glucose 11.0 ~ 12.0mmol / L. Water appeared in the right toe 5 days ago