A 48-year-old female with Type II Diabetes from 3 years presented to the physician. She reports to the primary clinic and investigations indicate she has as A1c of 9.7%.
She reports fasting glucose on her home monitor has been ranging from 9-14 mmol/L prior to admission. Medical Condition: Obesity (BMI 35 kg/mm2) from 10 years Chronic renal failure from 2 years Allergies : None Medications : Metformin 1000mg po BID Lifestyle : Sedentary, non-smoker, no alcohol or illicit drug use