(1) Patients with acute complications of diabetes, including diabetic ketoacidosis, diabetic hyperosmolar nonketotic coma, hypoglycemia coma or severe unconscious hypoglycemia, etc.; or severe chronic diabetic complications. |
(2) Patients with heart failure, unstable angina pectoris, severe arrhythmia, myocardial infarction in the past 12 months; blood pressure SBP>180mmHg or DBP>100mmHg. |
(3) Patients with a history of liver disease such as cirrhosis, hepatitis B, or hepatitis C (except for carriers), or AST or ALT 2. 5 times higher than the normal upper limit. |
(4) Patients with renal disease or clinically diagnosed history of renal insufficiency, serum creatinine greater than 1.5 mg/dl (132.6 mol/l) and the clearance rate of endogenous creatinine less than 50 ml/min. |
(5) Patients who suffered from acute or chronic pancreatitis, or had pancreatic injury for any reason, had blood amylase levels above the normal limit. |
(6) Patients were suffering from upper gastrointestinal ulcers, history of bleeding and gastric retention due to gastrointestinal surgery or pyloric obstruction. |
(7) Patients with other endocrine system diseases, such as hyperthyroidism, hypercortisolism and so on. |
(8) Patients with severe mental symptoms other than depression or family history of mental disorders and mental disorders of family history. |
(9) There were stress factors such as trauma, infection, surgery, fever and history of glucocorticoid use in the last 3 months. |
(10) No clear history and typical clinical manifestations of HPA axis dysfunction (centripetal obesity, full moon face, buffalo back, skin purple pattern, etc.) |
(11) Pregnant women, breast-feeding women, women of childbearing age who did not take effective contraception or plan to conceive during the trial period, whose results of urine HCG test show positive. |
(12) Patients with perimenopausal syndrome. |
(13) Patients with that curative effects and safety judgment was affected by data under-collection or unable to judge. |