A 62-year-old male comes to your clinic with a high random blood sugar complaint. The man is one of your regular patients and has a ten-year history of type II diabetes mellitus (T2DM). The patient is very concerned about his health and has been cautious about her diabetes since the early onset of T2DM. Physical attributes: Age: 62 years Body mass index: 31.9 kg/m 2 Waist circumference: 110 cm The patient reports that he occasionally tested blood glucose at home. Some post-meal values were >300 mg/dl, whereas a few values measured <80 mg/dl after dinner .
Medical history The patient has had T2DM since he was 52-years old . His T2DM has been complicated with bilateral diabetic maculopathy, autonomic neuropathy, dyslipidemia, hypertension, and carotid vascular disease . Moreover, the patient was non-compliant with basal insulin therapy for fear of hypoglycemia and injections. …
