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患者男性,55岁主诉多饮、多食、多尿13月余。现病史患者13个月前因烦渴多饮、多尿到当地医院就诊,门诊查空腹血糖10.4mmol/L,糖化血红蛋白9.2%,诊断为2型糖尿病,医生给予生活方式干预和格列吡嗪2.5mg Tid,二甲双胍250mg Tid。3个月前,格列吡嗪已加量至7.5mg Tid,二甲双胍加量至500mg Tid,血糖仍控制不佳,糖化血红蛋白7.8%,开始加用阿卡波糖50mg Tid。一周前复查糖化血红
Male patients, 55-year-old complained more drink, eat more, more than 13 months urine. Current history of patients 13 months ago due to thirst, polydipsia, polyuria to the local hospital, outpatient check fasting blood glucose 10.4mmol / L, glycated hemoglobin 9.2%, diagnosed with type 2 diabetes, the doctor gave lifestyle intervention and glipizide 2.5 mg Tid, metformin 250 mg Tid. Three months earlier, glipizide had been added to 7.5 mg of Tid and metformin to 500 mg of Tid, with poorly controlled blood glucose, 7.8% HbA1c, and 50 mg Tid of acarbose. Review glycosylated red blood a week ago