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患者男性,52岁主诉血糖升高12年。现病史患者12年前因多饮多尿在当地医院就诊,查随机血糖11.8mmol/L,被诊断为2型糖尿病。先后服用二甲双胍、格列本脲、格列美脲、阿卡波糖等多种口服降糖药,后因血糖控制不佳,5年前开始接受胰岛素治疗,同时继续服用二甲双胍。因使用预混胰岛素30R经常出现低血糖,3个月前改为
Male patient, 52-year-old chief complaint of elevated blood sugar for 12 years. History of patients with history of polyhydramnios 12 years ago at a local hospital for treatment, check the random blood glucose 11.8mmol / L, was diagnosed with type 2 diabetes. Has taken metformin, glyburide, glimepiride, acarbose and other oral hypoglycemic agents, due to poor blood sugar control, 5 years ago began receiving insulin treatment, while continuing to take metformin. Because of the use of premixed insulin 30R frequent hypoglycemia, changed to 3 months ago