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患者男性,56岁主诉口渴、多饮、多尿3年,低血糖反复发作1个月。现病史3年前患者无明显诱因出现口渴、多饮、多尿、乏力,查空腹血糖9.8mmol/L,于当地医院诊断为2型糖尿病,给予生活方式干预和二甲双胍治疗。最初患者未严格执行治疗方案,曾因皮肤伤口感染诱发酮症酸中毒入院。患者此后开始遵循医生给予的生活方式干预和口服药治疗建议,口服降糖药逐渐增加至二甲双胍500mg Tid、格列美脲2mg Qd和阿卡波糖
Male patients, 56-year-old chief complaint thirst, drink more, polyuria 3 years, repeated episodes of hypoglycemia 1 month. History of illness 3 years ago, no obvious incentive to thirst, polydipsia, polyuria, fatigue, check fasting blood glucose 9.8mmol / L, at the local hospital diagnosed with type 2 diabetes, lifestyle intervention and metformin treatment. Initially the patient did not strictly enforce the treatment regimen and was hospitalized for ketosis acidosis due to skin wound infection. Patients subsequently began to follow the doctor’s lifestyle intervention and oral medication recommendations, oral hypoglycemic agents gradually increased to metformin 500mg Tid, glimepiride 2mg Qd and acarbose