临床资料 43例糖尿病病例中,男19例,女24例。年龄40～82岁,平均年龄61岁。43例病前多无烦渴、多饮、多尿、多食及消瘦等糖尿病典型的“三多一少”症状。入院时首发表现的形式有:肺部感染12例(经胸片证实肺炎、肺结核);肾功能不全9例(小便蛋白+～++,血BUN14.2～2.5mmol/L,Cr381～1989μmol/L);动脉硬化性脑梗塞14例(肢体偏瘫、失语、神志不清或血压升高);不明原因意识障碍5例(发热、嗜睡、神志恍惚、昏迷、抽搐);心肌炎3例(心悸、胸闷、心电图异常)。43例均是住院病人,且年龄在40岁以上,经常规查血糖、尿糖 Clinical data 43 cases of diabetes cases, 19 males and 24 females. Age 40 ~ 82 years old, average age 61 years old. 43 cases of more than before the disease without polydipsia, polydipsia, polyuria, eat more food and wasting diabetes and other typical “more than a few” symptoms. The first manifestation on admission was in the form of pulmonary infection in 12 cases (confirmed by chest radiography, pulmonary tuberculosis); renal insufficiency in 9 cases (urinary albumin + ~ +, blood BUN14.2 ~ 2.5mmol / L, Cr381 ~ 1989μmol / (Fever, drowsiness, delirium, coma, convulsions); myocarditis in 3 cases (palpitations, palpitations, palpitations, Chest tightness, abnormal ECG). 43 cases were hospitalized patients, and over the age of 40, often check blood sugar, urine sugar