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作者报告一例Ⅰ型糖尿病患者,当血糖迅速被控制时,出现短暂、急性而无症状的双侧视盘水肿。 患者男性,39岁,因糖尿病伴周围神经病变於1985年8月收住院。患者在32岁时发病,因内源性胰岛素缺乏而诊为Ⅰ型糖尿病。首先给与口服降糖药治疗,但未能控制病情。1985年春,病情恶化,糖化血红蛋白升高,胰高糖素(0.5mg)静注后,C肽反应低于0.05nmol/L,因此在1985年5月开始胰
The authors report a transient type of acute, asymptomatic, bilateral optic disc edema in patients with type 1 diabetes when blood glucose is rapidly controlled. Male, 39 years old, admitted to hospital for treatment of diabetic peripheral neuropathy in August 1985. The patient developed disease at age 32 and was diagnosed with type 1 diabetes due to endogenous insulin deficiency. First, given oral hypoglycemic agents, but failed to control the disease. The spring of 1985, the disease deteriorated, elevated glycated hemoglobin, glucagon (0.5mg) intravenous, C-peptide reaction was less than 0.05nmol / L, so in May 1985 began to pancreas