Case presentation: clinical data
| Demographics |
| Male, age 65 |
| Body mass index: 42.7 |
| Blood pressure: 127/75 mm Hg |
| Social history: single, no children, retired |
| Medical history |
| 22-year history of type 2 diabetes |
| Hypertension |
| Hypercholesterolemia |
| Diabetic neuropathy |
| Diabetic retinopathy |
| Peripheral vascular disease |
| Health habits |
| Nonsmoker, occasional alcohol |
| No regular physical activity |
| Eats 3 meals per day, often with evening snacks |
| Current diabetes medications |
| Metformin extended release 1,000 mg 2 times per day |
| Dulaglutide 4.5 mg (maximum dose) once weekly |
| Insulin glargine 60 units/day at bedtime |
| Insulin lispro 10 units with meals |
| Laboratory results |
| Hemoglobin A1c 8.5% (reference range 4–5.6) |
| Fasting blood glucose 165 mg/dL (70–99) |
| Estimated glomerular filtration rate > 60 mL/minute/1.73 m2 |