Mr A is a 89 year old patient with type 2 diabetes, congestive heart failure, end-stage kidney disease, and anaemia. His diabetes regimen consists of four insulin injections daily. He cannot take oral medications because of his kidney and heart diseases. His glucose concentrations range between 70 mg/dL and 150 mg/dL before breakfast, and between 80 mg/dL and 160 mg/dL before meals and at bedtime. His HbA _1C result—although not reliable because of his anaemia—is 7·1% (54 mmol/mol).

中文翻译：

---

糖尿病管理中的自由化，去强化和简化：措辞很重要。

A先生是一位89岁的2型糖尿病，充血性心力衰竭，终末期肾脏疾病和贫血患者。他的糖尿病治疗方案包括每天注射四次胰岛素。由于肾脏和心脏病，他不能口服药物。他的葡萄糖浓度在早餐前为70 mg / dL至150 mg / dL，在餐前和就寝时为80 mg / dL至160 mg / dL。他的HbA _1C结果（尽管由于他的贫血而不可靠）为7％（1％）（54 mmol / mol）。