抗胰岛素糖尿病是糖尿病中特殊表现形式,系指糖尿病患者每日胰岛素需要量超过200单位,持续48小时以上尚不能控制者。我院确诊1例,兹报道如下: 曹×,男,39岁。于1957年11月确诊糖尿病,能用饮食控制。半年后加用正规胰岛素40单位/日,后又合用D_(860)1.5～3.0克/日约1年。1980年12月并发右上肺结核空洞,经抗结核治疗20个月后,空洞闭合,结核稳定。1962年8月胰岛素用量每日160单位,血糖基本控制,偶有尿糖。1963年4月起“三多”症状明显,7月12日因恶心,呕吐、空腹血糖280毫克％,尿糖(卅)、尿酮(卅)入院。体检:体温37.2℃,脉搏92次/分,呼吸22次/分,血压104/74毫米汞柱。身长164厘米,体重42.5公斤。发育佳, Insulin-resistant diabetes mellitus is a special form of diabetes mellitus, which means that the daily insulin requirement of diabetic patients exceeds 200 units and can not be controlled for more than 48 hours. A hospital diagnosed in our hospital, it is reported as follows: Cao ×, male, 39 years old. In November 1957 confirmed diabetes, can use diet control. Six months after the addition of regular insulin 40 units / day, and then combined D_ (860) 1.5 ~ 3.0 g / day for about 1 year. December 1980 complicated by right upper pulmonary tuberculosis cavity, after 20 months of anti-TB treatment, empty closed, stable tuberculosis. August 1962 insulin dosage 160 units per day, basic glucose control, occasional urine sugar. April 1963 “three more” obvious symptoms, July 12 due to nausea, vomiting, fasting blood glucose 280 mg%, urine sugar (卅), urine ketone (卅) admission. Physical examination: body temperature 37.2 ℃, pulse 92 beats / min, breathing 22 beats / min, blood pressure 104/74 mm Hg. 164 cm in length and weighs 42.5 kg. Good development,