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患者女性,61岁主诉口渴、多饮、多尿6年,血糖升高4年,低血糖反复发作1个月。现病史患者6年前患者无明显诱因出现前因口渴、多饮、多尿和就医,被诊断为2型糖尿病。患者一直接受生活方式干预和口服降糖药治疗,因口服降糖药已经用到最大用量而血糖控制仍不达标,从2个月前开始胰岛素治疗,采用人胰岛素30R每日两次注射。医生为进一步控制餐后血糖而增加餐前胰岛素用量,则餐后4小时左右容易出现低血糖,因此餐后血糖控制不佳。目前胰岛素用量为
Female patients, 61-year-old chief complaint of thirst, polydipsia, polyuria 6 years, 4 years of elevated blood sugar, hypoglycemia recurrent 1 month. Patients with a history of illness 6 years ago, the patient had no obvious incentive before the onset of thirst, polydipsia, polyuria and medical treatment, was diagnosed with type 2 diabetes. Patients have been treated with life-style interventions and oral hypoglycemic agents because the maximum amount of oral hypoglycemic agents is already in use and blood glucose control is still not up to standard, starting insulin treatment two months ago and injecting twice daily with human insulin 30R. Doctors to further control the postprandial blood glucose and increase the amount of pre-meal insulin, the postprandial 4 hours prone to hypoglycemia, postprandial blood glucose control poor. The current amount of insulin