Ms Zhang, 42 years old, married and has a child, government officer.
Since getting married and having a baby, the patient’s weight rose up to 81 kg, and she had the symptoms of polyuria, polydipsia, polyphagia, becoming faint and lack of strength. She was diagnosed as having diabetes mellitus and treated with Metformin Hydrochloride, but her blood sugar couldn’t be controlled well. Three years later, ketoacidosis occurred, and she was then diagnosed with type 1 diabetes mellitus, and treated with insulin injection of 24 units before breakfast and 18 units before supper. At first, her glucose was stable, but as the disease developed, her blood sugar fluctuated intensely, accompanied with hypoglycemia at nights.
In the year 2004, light syndrome happened to her eyes, in order to get a better control of her blood sugar, the patient was treated in hospital. The previous treatment was adjusted to be 20 units before breakfast (short-effect), 12 units before lunch (short effect), 16 units before supper (mid- effect), 8 units before sleeping (mid-effect), then her glucose in daytime was about 8mmol/L, and hypoglycemia still occurred at nights.
In the year 2004, light syndrome happened to her eyes, in order to get a better control of her blood sugar, the patient was treated in hospital. The previous treatment was adjusted to be 20 units before breakfast (short-effect), 12 units before lunch (short effect), 16 units before supper (mid- effect), 8 units before sleeping (mid-effect), then her glucose in daytime was about 8mmol/L, and hypoglycemia still occurred at nights.
In June, 2006, the patient went into hospital again because of chronic syndrome—diabetic feet. After the state of disease became stable, the physician suggested the patient to use Dynamic Glucose Monitoring System (DGMS) for glucose tracking to adjust the medication plan. The patient agreed with the suggestion, and took the monitoring once a month. The treatment plan was adjusted for several times according to the monitoring reports, then her blood sugar became stable gradually, the insulin injection before sleeping was removed to avoid hypoglycemia at nights effectively. After 3 months, her diabetes feet and eyesight recovered. Presently, her fasting blood sugar is 4.2~7.2mmol/L, and postprandial blood sugar is 6.5~7.3mmol/L, glycated hemoglobin (HbA1c) is 6.5~7.4%, and hypoglycemia does not happen again.
