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【单选题】
男性, 52岁 。确诊2型糖尿病1年,给予合理饮食和运动治疗并口服二甲双胍500mg,每日3次,查体:身高173cm,体重78kg,血压130/90mmHg,心、肺和腹部检查未见异常。复查空腹血糖5.2mmo1/L,三餐后2小时血糖分别为11.4mmol/L、13.1mmol/L和12.6mmoL/L,下一步最合理的治疗是A.
二甲双胍加大剂量
B.
改用胰岛素
C.
加用磺脲类降血糖药
D.
加用α葡萄糖苷酶抑制
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