57岁，男，体重76kg，身高160cm。因多饮，多尿确诊为2型糖尿病。经饮食治疗和运动锻炼，2个月后空腹血糖为8.9mmol/L，餐后2小时血糖13.1mmol/L。进一步治疗应选择（）。
A.加磺脲类降血糖药物
B.加双胍类降血糖药物
C.加胰岛素治疗
D.加口服降血糖药和胰岛素
E.维持原饮食治疗和运动
参考答案：B
解析：二甲双胍主要适用于肥胖或超重的2型糖尿病病人。患者体重指数为29.7，超重，因此治疗首选双胍类降血糖药物。
| Recently, I flew to Las Vegas to attend a meeting. As we were about to arrive, the pilot announced with apology that there would be a slight (16) before setting down. High desert winds had (17) the airport to close all but one runway. He said that we would be (18) the city for a few minutes waiting to (19) . We were also told to remain in our seats meanwhile with our seat belts fastened (20) there might be a few bumps(颠簸). Well, that few minutes turned into about four-five minutes, including a ride that would make a roller coaster(过山车) (21) by comparison. The movement was so fierce that several passengers felt (22) and had to use airsickness bags. As you might guess, that’ s not a good thing to have happen in a(n) (23) space because it only (24) to increase the discomfort of the situation. About twenty minutes into the adventure, the entire airplane became very (25) There was now a sense of anxiety and fear that could be (26) noticed. Every passenger simply held on for dear life …except one. A (27) was having a good time！ With each bump of the (28) , he would let out a giggle (咯咯地笑)of delight. As I observed this, I (29) that he didn’t know he was supposed to be afraid and worried about his (30) . He neither thought about the past nor about the future. Those are what we gown--ups have learned from (31) . He was (32) the ride because he had not yet been taught to fear it. Having understood this, I took a deep breath and (33) back into my seat, pretending I was (34) on a roller coaster. I smiled for the rest of the flight. I even (35) to giggle once or twice, much to the chagrin(随恼) of the man sitting next to me holding the airsickness bag. |
How did Jeb try to hold the cougar’ s attention
A．By keeping shouting and hitting.
B．By making a wall out of his arms.
C．By throwing himself on the cougar.
D．By swinging his fists at the cougar’ s eyes.