A Diabetic Woman with Complaints of Vision Instability

Case presentation A 64-year-old woman presented to the clinician with complaints about her post-followup of T2DM medications. She reports compliance with her current medications. No significant burden of hypoglycemia. She reports her vision is unstable.

She lives in a rural area and does not have convenient access to an eye-care professional. Her last comprehensive eye examination was five years ago, from the onset of medications for T2DM . History T2DM, hypertension (HTN), dyslipidemia, depression Medications Liraglutide 1.8 mg SQ daily, Metformin 1000 mg twice a day, Atorvastatin 20 mg daily, Lisinopril 10 mg daily, and a multivitamin tablet Laboratory examination and workup General appearance: Patient is in no acute distress BP:: 134/82 mmHg bilaterally HR: 82 beats/minute RR: 12 per minute BMI: 30 kg/m2 Mouth: Dentition is in good repair Neck: No carotid bruit or jugular venous…