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男性,74岁主诉口干、多饮、多尿20余年,乏力、言语不清半月。现病史患者20多年前无明显诱因出现口干、多饮、多尿,查空腹血糖10.0mmol/L,于当地医院诊为2型糖尿病,予生活方式干预,曾口服二甲双胍、消渴丸、阿卡波糖片治疗,后于当地医院应用精蛋白锌重组人胰岛素注射液30R早17U、晚17U,餐前半小时皮下注射,血糖控制不详。4年前出现手足麻木发凉,无间歇性跛行,3年前因视物模糊,诊为糖尿病视网膜病变,行眼底激光光凝术。半月前出现双下肢乏力,言语不清,无恶心、呕吐,无头痛、头晕。为进一步治疗,就诊于本院。
Male, 74-year-old chief complaint of dry mouth, drink more, more than 20 years urine, weakness, slurred speech. History of patients with more than 20 years ago no obvious incentive to appear dry mouth, drink more, polyuria, check fasting blood glucose 10.0mmol / L, at the local hospital for type 2 diabetes, lifestyle intervention, had oral metformin, Xiaoke Pill, A Carbopol sugar treatment, after the application of protamine zinc in the local hospital recombinant human insulin injection 30R early 17U, late 17U, half an hour before a meal subcutaneous injection, blood glucose control is unknown. 4 years ago hand, foot numbness and cold, no intermittent claudication, 3 years ago due to blurred vision, diagnosed as diabetic retinopathy, fundus laser photocoagulation. Two months ago there are two lower extremity fatigue, vague language, no nausea, vomiting, no headache, dizziness. For further treatment, visit our hospital.