A 36-year-old man presented to a clinic with complaints of polydipsia , fatigue , and leg cramps for the past several months. He was feeling warm and experiencing cough with expectoration for more than a week.
History of presenting illness Non-smoker T2DM Hypertension Increase of weight by 20 lbs in the past four months Initiated on metformin (500 mg twice daily) therapy and was advised to monitor his diet, lose weight, and weekly check his fasting blood glucose levels However, there was a steady increase in the fasting blood glucose level Four months before his visit to the present clinic, his glycated hemoglobin level was found to be 8.3% Subsequently, a bedtime dose of 30 U of insulin glargine was added to his treatment regimen The patient reported that despite continuous efforts, he was unable to lose weight Physical Examination and Workup Weight: 187 lb; BP: 180/100 mm Hg Heart…
