姜某,男,60岁,1957年出现多饮多尿和消瘦,检尿糖卅,空腹血糖250mg%,诊断糖尿病。口服D_(800)无效,后改用普通胰岛素每日20～60单位,分3次餐前皮下注射,症状好转,空腹血糖降至120～200mg%。次年,患者背臀和肛门周围处出现10余个直径1～3cm 大小的疙瘩,病检报告为“黄色瘤”。1965年发现高血压,用一般降血压药治疗有效。1976年3月觉畏寒、肢冷、倦困、脸面和下肢浮肿,当时体检无肥胖,皮肤干糙,全身毛发稀少,脸面和胫骨前轻度非凹陷性水肿,甲状腺无扪及,余无特殊。实验室检查, Jiangmou, male, 60 years old, 1957 appeared polyhydramnios and weight loss, urine check sugar, fasting blood glucose 250mg%, the diagnosis of diabetes. Oral D_ (800) is invalid, after switching to regular insulin daily 20 to 60 units, subcutaneous injection 3 times before meals, the symptoms improved, fasting blood glucose dropped to 120 ~ 200mg%. The following year, there were more than 10 pimples of 1 ~ 3cm in diameter around the buttocks and anus of the patient. The pathological examination report was “yellow tumor.” Hypertension was found in 1965, with the general antihypertensive drug treatment effective. March 1976 chills, cold, tired sleepy, face and lower extremity edema, when no obesity physical examination, dry skin, body scarce, face and tibial mild non-depressive edema, no palpable thyroid, and I special. Laboratory tests,