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患者女性,64岁。因2年来出现易饥善食,口干、多饮、多尿、疲乏、皮肤搔痒、体重下降等症状而入院。体检:血压168/90mmHg。消瘦外观。心肺(-),肝脾未触及。化验:肝肾功能、心电图检查均正常。甘油三酯52.2mg％,总胆固醇277mg％,高密度脂蛋白-胆固醇90.7mg％。空腹血糖140～195mg％,餐后2小时血糖278mg％,血酮(-),尿糖定性(-)～“+”,尿糖定量35.8g/24小时,胸部X线透视显示主动脉弓突出迂曲。入院后,仅饮食控制,未用降糖药。于第七天给口服异搏定降压
Patient female, 64 years old. Due to two years of hunger and easy to eat, dry mouth, drink more, polyuria, fatigue, skin itching, weight loss and other symptoms and admission. Physical examination: blood pressure 168 / 90mmHg. Thin appearance. Cardiopulmonary (-), liver and spleen not touched. Laboratory: liver and kidney function, ECG are normal. 52.2 mg% of triglyceride, 277 mg% of total cholesterol, and 90.7 mg% of high-density lipoprotein-cholesterol. Fasting blood glucose 140 ~ 195mg%, 2 hours postprandial blood glucose 278mg%, blood ketone (-), urine qualitative (-) ~ “+”, urine quantitative 35.8g / 24 hours, chest X-ray showed aortic arch tortuous. After admission, only diet control, no hypoglycemic agents. On the seventh day given oral verapamil antihypertensive