A 14 year of adolescent girl with HbA1c 8 % & Two times Random blood sugar above 200mg/dl. Also BP 140/ 90 mmhg. It's not surprising now a days. Adolescents are coming up with these problems in your clinic, mother father both have type 2 DM.

I also  have a patient which has got above findings. Her weight is 75 kg, apart from life style modifications & Metformin what other measures in the management can we do for patients like these.