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患者男性,64岁主诉口干、乏力12年,加重2个月。现病史患者12年前无明显诱因出现口干、多饮、多尿,伴乏力,查空腹血糖9mmol/L,自行控制饮食,未应用降糖药物,未监测血糖。8年前自服中药(具体不详)控制血糖。3年前开始服用二甲双胍0.5g bid,阿卡波糖50mg tid,格列齐特120mg qd,监测血糖控制好。2个月前无明显诱因感口干、乏力加重,自测空腹血糖(FPG)10~12mmol/L,餐后血糖(PPG)15~18mmol/L。为求改善症状,患者来我院就诊。
Male patients, 64-year-old chief complaint of dry mouth, fatigue 12 years, increased 2 months. History of patients with history of 12 years ago, no obvious incentive to appear dry mouth, drink more, with urine, with fatigue, check fasting blood glucose 9mmol / L, self-control diet, no hypoglycemic agents, not monitoring blood glucose. 8 years ago self-serving traditional Chinese medicine (specific unknown) control of blood sugar. 3 years ago began taking metformin 0.5g bid, acarbose 50mg tid, gliclazide 120mg qd, monitoring of good glycemic control. 2 months ago no obvious incentive to feel dry mouth, increased fatigue, self-measured fasting blood glucose (FPG) 10 ~ 12mmol / L, postprandial blood glucose (PPG) 15 ~ 18mmol / L. In order to improve the symptoms, patients come to our hospital.