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患者女性,67岁。主诉血糖升高17年。现病史患者17年前体检时查空腹血糖14mmol/L,被诊为糖尿病。当时无明显多饮、多尿等症状,体重60kg,无明显体重变化,予饮食控制、适当运动,曾自服消渴丸降糖,服用数日后血糖降至正常遂自行停用,其后未规律检测血糖,未系统治疗。5年前因血糖高入院,当时餐后血糖25mmol/L,入院后完善相关并发症检测,明确诊断为2型糖尿病糖尿病视网膜病变糖尿病肾病微量蛋白尿期,予门冬胰岛素30(早12U午6U晚6U)联合阿卡波糖
Patient female, 67 years old. Chief complaint of elevated blood sugar 17 years. Current history of patients 17 years ago check the fasting blood glucose 14mmol / L, was diagnosed with diabetes. At that time no obvious symptoms such as polydipsia, polyuria, weight 60kg, no significant weight change to diet control, proper exercise, had self-serving Xiaoke pill hypoglycemic, take a few days after the blood glucose dropped to normal then self-disable, then not Regular detection of blood glucose, no systematic treatment. 5 years ago due to high blood glucose admission, when postprandial blood glucose 25mmol / L, after admission to improve the relevant complications detection, a clear diagnosis of type 2 diabetes mellitus diabetic retinopathy diabetic nephropathy microalbuminuria, insulin aspart 30 (as early as 12U afternoon 6U Late 6U) combined with acarbose