A 65-year-old male with type 2 diabetes was referred by his primary care physician to a weight center for an evaluation of his obesity and recommendations for treatment options. Medical history History of presenting illness: Sleep apnea but not on CPAP machine Weight: 155 kg; Height: 6 ft.; BMI of 46.6 kg/m 2 Fasting blood glucose levels: 100–130 mg/dl HbA1c: 6.1% Triglyceride level: 201 mg/dl Serum insulin level: 19 ulU/ml Current medications: 30 and 70 units of NPH insulin before breakfast and before or after dinner, respectively. 850 mg of metformin twice daily.
atorvastatin, lisinopril, nifedipine, allopurinol, aspirin an over-the-counter vitamin B12 supplement Weight history He developed obesity as a child and reports having gained weight every decade. His family history is positive for obesity; his father and one sister are also obese. Weight loss history He has participated in…