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某女性糖尿病患者,75岁,糖尿病史20余年,长期服用优降糖及各种降糖中药治疗,近3年来空腹血糖一直在12～15毫摩尔/升(220～270毫克/分升)。后来右足拇趾因剪趾甲导致局部破溃后长期不愈,拇趾颜色变黑坏死,于是前来我院就诊。 这位患者入院经检查诊断为“2型糖尿病合并,双下肢闭塞性动脉硬化症,糖尿病足5级”。在诊治过程中,她提出一个令其百思不解的问题:“我的
A woman with diabetes, 75 years of age, history of diabetes more than 20 years, long-term use of hypoglycemic and various hypoglycemic Chinese medicine treatment, the past three years, fasting blood glucose has been 12 to 15 mmol / l (220 ~ 270 mg / dl). Later, due to the right foot hallux toe nail caused by partial rupture of long-term unhealed, black toe color necrosis, then came to our hospital. The patient admitted to the hospital diagnosed as “type 2 diabetes mellitus, dual lower extremity occlusive arteriosclerosis, diabetic foot 5.” In the process of diagnosis and treatment, she put forward a puzzling question: "mine