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适当应用磺酰脲治疗糖尿病是很有效的。作者报告1例用两类磺酰脲治疗糖尿病引起的不良反应。患者,男,54岁,身高167cm,体重76kg,因糖尿病住院。糖耐量186mg/dl,HbA_(1c)9.2%,血压120/64mmHg,无糖尿病并发症。7个月前确诊为糖尿病。确诊后头1个月,遵照医生指导安排饮食(1600Kcal),每天运动(走7000步),头2个月开始口服优降糖1.5g/d,但病情无明显改善,然后增用甲糖宁(5mg 1个月,15mg 1个月,10mg 1个月,12.5mg 1个月和15mg 1个月),并与1.5g 优降糖一起用。但糖尿病仍未得到控制,
The proper application of sulfonylurea in the treatment of diabetes is very effective. The authors report 1 case of two types of sulfonylurea for the treatment of adverse reactions caused by diabetes. Patient, male, 54 years old, height 167cm, weight 76kg, hospitalized for diabetes. Glucose tolerance 186mg / dl, HbA_ (1c) 9.2%, blood pressure 120/64 mmHg, no complications of diabetes. 7 months ago diagnosed with diabetes. The first month after the diagnosis, according to the doctor’s advice to arrange a diet (1600Kcal), exercise daily (take 7000 steps), the first 2 months of oral glyburide oral 1.5g / d, but the disease did not improve significantly, 5 mg for 1 month, 15 mg for 1 month, 10 mg for 1 month, 12.5 mg for 1 month and 15 mg for 1 month) and used with 1.5 g of hypoglycemic agents. But diabetes is still out of control,