A 31year old male diabetic patient is having uncontrolled sugars since the age of 15. Initially well controlled on OHAs is currently on insulin with OHAs for the last 2-3 years. However his overall clinical exam does not look like he is a Type 1 diabetic. Lipid profile is very much under control with marginally increased Trgilycerides. But his HbA1c and Blood sugars are never in the target range. Fasting is usually high about 140-160.
Post meals is around 200s. He is currently on 24 units of Mixtard (30/70) in the morning along with Pioz 15 and Vildagliptin 50+Metformin 1000. followed by 20 units insulin in the night and Vilda 50 + Metformin 1000 in the night. He is Overweight (BMI=29.4) and limits his carbohydrate content. Still latest HbA1c is at 9% down from 10.5 and blood sugars are still in the range of 140 Fasting and 200s post meals. Currently trying to monitor his day time and…
