2007年我院内分泌门诊主诉为多尿、多饮、乏力、体质量下降的36例2型糖尿病患者,其中半数患者有糖尿病家族史,在给予生活方式和合理饮食指导后,依据空腹血糖、餐后2h血糖、空腹胰岛素、糖化血红蛋白(HbA1c)和尿常规的检测结果,使用甘精胰岛素或联合口服降糖药治疗取得较好效果,现报告如下。1资料和方法1.1临床资料:初诊2型糖尿病患者(初诊治疗组)16例:尿酮体±~+而无明显酸中毒临床症状,空腹血糖11.61~21.22mmol/L,餐后2h血糖14.34~34.21mmol/L,空腹胰岛素6.41~ In 2007, our hospital endocrine clinic chief complaint was polyuria, polydipsia, fatigue, weight loss of 36 cases of type 2 diabetes patients, of which half of patients with family history of diabetes, given lifestyle and reasonable diet guidance, based on fasting blood glucose, meal After 2h blood glucose, fasting insulin, glycosylated hemoglobin (HbA1c) and urine routine test results, the use of insulin glargine or oral hypoglycemic agents to achieve better results, are as follows. 1 Materials and Methods 1.1 Clinical data: 16 cases of newly diagnosed type 2 diabetic patients (newly diagnosed treatment group): clinical symptoms of urinary ketone body ± ~ + without obvious acidosis, fasting blood glucose 11.61 ~ 21.22mmol / L, postprandial blood glucose of 14.24 ~ 34.21mmol / L, fasting insulin 6.41 ~