A 65- year old female comes to your clinic with a complaint of high random blood sugar. The woman is one of your regular patients and has 12 years of type II diabetes miletus (T2DM) history. The lady is very cautious about her health and fitness and has been cautious about her diabetes since the early onset of T2DM. Physical attributes Age: 65 years Body mass index: 32.9 kg/m 2 Waist circumference: 112 cm (central body fat distribution) Natural menopause: 49 years Upon further asking questions, the lady reports that she tested occasional blood glucose at home.

Some of the post-prandial values were >300 mg/dl whereas a few values measured <80 mg/dl after dinner. Medical history The lady has T2DM since she was 53-years old. Her T2DM has been complicated with bilateral diabetic maculopathy, autonomic neuropathy, dyslipidemia, hypertension, and carotid vascular disease. Moreover, the lady…