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Management of Type 2 Diabetes

机译:2型糖尿病的治疗

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A 55-year-old woman with type 2 diabetes, obesity, and hypertension has been under your care for the past 2 years. She has no history of microal-buminuria, retinopathy, or neuropathy. She has never had a cardiovascular event and reports no cardiac symptoms.In the past, she has successfully lost weight (from 5 to 12 kg) on various diets but each time has regained all of the weight she lost. She tries to walk 30 minutes each day. She monitors her fasting glucose levels three times weekly using a personal glucometer, and her morning fasting glucose levels have ranged between 110 and 140 mg per deciliter (6.1 and 7.8 mmol liter). She has been receiving metformin (1000 mg twice a day) and glipizide (10 mg twice daily).
机译:在过去2年中,您一直在照顾55岁的2型糖尿病,肥胖和高血压妇女。她没有微蛋白尿,视网膜病变或神经病的病史。她从未发生过心血管事件,也没有心脏症状的报道。过去,她通过各种饮食已成功减轻了体重(5至12公斤),但每次都恢复了她减轻的所有体重。她试图每天走30分钟。她每周使用个人血糖仪监测其空腹血糖水平三次,早晨空腹血糖水平介于110至140毫克每分升(6.1至7.8 mmol升)之间。她一直在接受二甲双胍(每天两次1000毫克)和格列吡嗪(每天两次10毫克)。

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