A 69 year-old-male presented to a diabetes specialty clinic with complaints of suboptimal diabetes control, weight gain and foot pain. History of presenting illness The patient had a 5-year history of type 2 diabetes mellitus (T2DM) and his HbA1C was greater than 8% for the past several years. Prior to the diagnosis with T2DM, the patient was in a prediabetic stage for 2 years with average fasting glucose ranging from 118 to 127 mg/dl. In addition, the patient had a history of weight gain and was advised to lose at least 4-5 kgs.
Medication History The patient was on glyburide medication, 2.5 mg; however, due to complaints of sudden episodes of dizziness, sweating, and mild agitation, he discontinued the therapy. He was also on atorvastatin, 10 mg daily for hypercholesterolemia. To further control his blood sugar level, the patient started consuming dietary supplements, including…
