论文部分内容阅读
老年女性,59岁主诉多饮、多食、多尿、体重下降6年,视物模糊1月现病史患者于6年前无明显诱因出现多饮多食,多尿,体重下降,一月内下降约10kg,伴全身乏力,到当地医院查空腹血糖17.9mmol/L,诊断为糖尿病,给予消渴丸、二甲双胍口服,空腹血糖波动于9～11mmol/L,餐后血糖未测,未严格控制饮食,后因血糖控制欠佳自行改服多种降糖药物(具体不详),血糖水平不详。20月前因左侧肢体麻木无力到当地医院,诊断为脑梗塞,出院后出现双足趾麻木,未就诊。1月前无诱因出现双眼视物模糊,左侧较
Older women, 59-year-old chief complaint of drink more, eat more, more urine, weight loss 6 years, blurred vision in January patients with a history of illness in 6 years ago no obvious incentive to drink more, polyuria, weight loss, within one month Decreased about 10kg, with generalized weakness, to the local hospital check fasting blood glucose 17.9mmol / L, diagnosed with diabetes, giving Xiaoke Pill, metformin oral, fasting blood glucose fluctuations in 9 ~ 11mmol / L, postprandial blood glucose was not measured, not strictly controlled Diet, due to poor blood sugar control themselves to a variety of antidiabetic drugs (specific unknown), blood glucose levels unknown. 20 months ago due to numbness of the left limb numbness to the local hospital, diagnosed as cerebral infarction, two toes numb after discharge, no treatment. 1 month ago, there is no incentive to binocular vision blurred, more left