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近年来糖尿病的发生率呈日渐增高趋势,胰岛素已成为部分糖尿病患者治疗中不可缺少的药物。胰岛素的不良反应较少,但胰岛素过敏为临床治疗糖尿病带来较大困扰。笔者在临床上使2例胰岛素过敏患者成功脱敏,现报告如下:1病例资料病例1,女,62岁,因多饮、消瘦、血糖高12年,加重伴双下肢水肿、麻木2个月入院。患者明确诊断2型糖尿病史12年,先后服用多种降糖药物,血糖控制差。现长期服用格列吡嗪0.5 g,每日3次,二甲双胍0.5 g,每日3次控制血糖。查体:身高163 cm,体质量48 kg,体质量指数18.06 kg/m2,双下肢轻度
In recent years, the incidence of diabetes showed an increasing trend, insulin has become an indispensable drug in the treatment of some patients with diabetes. Insulin adverse reactions less, but insulin allergy for the clinical treatment of diabetes bring more trouble. The author clinically desensitization of 2 patients with insulin allergy, are as follows: 1 case data cases 1, female, 62 years old, due to drink more, weight loss, high blood sugar for 12 years, aggravated with bilateral lower extremity edema, numbness 2 months Admission. Patients with a clear diagnosis of type 2 diabetes history of 12 years, has taken a variety of hypoglycemic drugs, poor blood glucose control. Long-term use of glipizide 0.5 g, 3 times daily, metformin 0.5 g, 3 times a day to control blood sugar. Physical examination: height 163 cm, body weight 48 kg, body mass index 18.06 kg / m2, both lower extremities mild