女，39岁，因易乏力、间歇头晕2个月就诊，伴肢端麻木，无多尿、口渴。体检：身高165cm，体重75kg，BP18.7/12.3kPa（140/92mmHg），心肺无异常，双膝反射减弱，化验空腹血糖（FPG）6.5mmol/L（117mg/dl），餐后2小时血糖（2HPC）12mmol/L（216mg/dl）
半个月后病人来复诊，并诉说曾到附近诊所诊治，给加用每日一片（2.5mg）格列本脲。服药后常有心跳、出汗，四肢软弱，复查空腹血糖为7.2mmol/L（130mg/dl），餐后血糖11.1mmol/L（200mg/dl），下一步最适宜的处理措施是（）
A.加用另一种降血糖药物
B.加大用药剂量至每日2片（5mg）
C.停药观察
D.改用胰岛素
E.停用格列本脲，改用拜糖平或二甲双胍治疗
参考答案：E
| 完型填空 | ||||
| "I didn't do anything!" "Say you're sorry!" "It's not my fault!" Sound familiar? If so, you are like a lot of kids who sometimes ___1__ with their friends or family members. It's not always easy to _2___ with others. Kids aren't ___3__, so they sometimes do things that get them into ___4__. Saying "I'm sorry" can help. Saying you're sorry is called apologizing. When you apologize, you're telling someone that you're sorry for the __5__ you caused. When you apologize to someone, you stop to think about the other person's __6__, and you begin to feel sorry for your ___7__. You may even feel ___8__ or ashamed if you did something that you knew was ___9__ even if what happened was an accident or you didn't do it ___10__. You would probably ___11__ feel sorry if you knew the other person's feelings were hurt. Kids might need to apologize if they did something they knew was wrong. __12_ can apologize, too-to other grown-ups or even to ___13__. After all, grown-ups also make ___14__ sometimes. By apologizing when they are wrong, grown-ups can __15__ a good example and show kids how to do the right thing and apologize when they __16__. Sometimes a heartfelt "I'm sorry" __17__ everything right away. Other times, it might take a while for a person to feel friendly after you __18__. You might need to give them _19__. Even after you say you're sorry, you might still feel ___20___ for what you said or did, but you can feel good about apologizing and about making up your mind to do better. | ||||
|