试题与答案

女性,60岁,近1个月频感口渴,饮水量增至每天2000ml。身高156cm,体重71

题型:单项选择题 A2型题

题目:

女性,60岁,近1个月频感口渴,饮水量增至每天2000ml。身高156cm,体重71kg,空腹血糖180mgdl(10.0mmol/L),餐后血糖252mg/dl(14.0mmol/L),系初次发现血糖高,既往无糖尿病史。给患者的治疗建议是()

A.饮食及运动治疗

B.口服磺脲类降血糖药

C.口服双胍类降血糖药

D.α葡萄糖苷酶抑制剂

E.胰岛素治疗

答案:

参考答案:A

解析:患者饮水量增加,肥胖,空腹血糖大于7.0mmol/L,考虑为2型糖尿病,初发2型糖尿病患者,首先给予饮食及运动治疗,如血糖控制不佳再加用降糖药。

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