女性，40岁，糖尿病病史3年，体重下降10kg。因服用格列齐特240mg/日，空腹血糖控制在9～10mmol/L，餐后两小时13mmol/L左右，HbAlc8.5%，尿检查酮体反复阳性，改用胰岛素治疗2个月余，HbAlc下降至7%。父亲患糖尿病，BMI25kg/m3，ICA阴性，GAD抗体阳性。
此例患者最可能的诊断是（）。
A.2型糖尿病，磺脲类药物失效
B.特发1型糖尿病
C.缓慢进展1型糖尿病
D.MODY
E.无法分型
参考答案：C
| 完型填空。 |
| A man and his wife arrived in Boston by train．After getting off the train, they walked without an 1 into the outer office of Harvard’s president．So they were stopped by his secretary and kept 2 ． For hours, the secretary took no notice of them, 3 that the couple would finally become disappointed and 4 ．But they didn’t．The secretary finally decided to disturb the president, though 5． A few minutes later, the president walked towards the couple with a 6face．The lady told him, “We had a son that 7 Harvard for one year．He loved Harvard．He was8_ here．But about a year ago, he was accidentally killed．My husband and I would like to 9 a memorial（纪念物）to him, somewhere on campus．” The president wasn’t moved ．Instead, he was 10 ．“Madam,” he said, “we can’t put up a statue for every person who studied at Harvard and died．If we did, this place would look like a 11 ,” “Oh, no,” the lady 12 quickly．“We don’t want to put up a statue．We would like to give a 13 to Harvard．” The president rolled his eyes and 14 at the couple and then exclaimed, ” A building! Do you have any 15 how much a building costs? We have spent over ＄7,500,000 on the campus building at Harvard．” For a moment the lady was silent．The president was 16 , because he could get rid of them now．Then the lady turned to her husband and said quietly, “Is that all it costs to start a 17 ? Why don’t we just start our own?” Her husband nodded． 18 their offer was turned down．Mr．and Mrs． Stanford traveled to California where they founded Stanford University 19 after them, a memorial to a son that Harvard no longer 20 about． |
| ( )1． A．choice ( )2． A．waiting ( )3． A．hoping ( )4． A．go down ( )5． A．hopelessly ( )6． A．pleasant ( )7． A．attended ( )8． A．clever ( )9． A．set about ( )10．A．satisfied ( )11．A．park ( )12．A．explained ( )13．A．building ( )14．A．laughed ( )15．A．suggestion ( )16．A．bored ( )17．A．department ( )18．A．Once ( )19．A．named ( )20．A．talked | B．decision B．standing B．finding B．go out B．carefully B．funny B．visited B．brave B．set up B．excited B．cemetery B．expressed B．yard B．shouted B．idea B．astonished B．university B．While B．looked B．knew | C．acquaintance C．sitting C．realizing C．go away C．unexpectedly C．cold C．studied C．proud C．set down C．shocked C．garden C．refused C．playground C．glanced C．thought C．interested C．business C．Since C．taken C．heard | D．appointment D．talking D．imagining D．go around D．unwillingly D．sad D．served D．happy D．set off D．ashamed D．museum D．admitted D．square D．called D．opinion D．pleased D．club D．Though D．followed D．cared |