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患者男,54岁。因多食、多饮、多尿,空腹血糖8.80mmol/L、尿糖((?)),于1970年诊断为糖尿病并用D860治疗8年余,血糖控制在6.60～7.15mmol/L尿糖(±),患者自认为已治愈,不再控制饮食。近5个月来上述症状复发并伴有乏力,空腹血糖15.40mmol/L,尿糖((?))～((?)),加大口服降糖药无效而入院。无浮肿史,无糖尿病家族史。体检:身高172cm,体重62kg。脉搏80次/分,血压120/80mmHg。消瘦,心肺正常,双下肢不肿,余无异常。入院时空腹血
Male patient, 54 years old. Due to more food, drink more, urine, fasting blood glucose 8.80mmol / L, urine sugar ((?)), Diagnosed in 1970 and treated with D860 more than 8 years of diabetes, blood sugar control in 6.60 ~ 7.15mmol / L urine sugar ±), the patient thinks he has been cured, no longer control the diet. The past five months the recurrence of symptoms and associated with fatigue, fasting blood glucose 15.40mmol / L, urine sugar ((?)) ~ ((?)), Increase oral hypoglycemic agents invalid and admission. No history of edema, no family history of diabetes. Physical examination: height 172cm, weight 62kg. Pulse 80 beats / min, blood pressure 120 / 80mmHg. Thin, normal heart and lungs, both lower extremity is not swollen, I no exception. Admission of fasting blood