How to Manage a Patient Who Is Not on Insulin Therapy

A 39-year-old female with a past medical history, noteworthy for hypertension, dyslipidemia, new onset diabetes, and class 3 obesity. Her A1c was 6.4% over the past two years, but has now recently jumped to an A1C of 9.6%. She's symptomatic. She's having some polyurea, and just generally doesn't feel great. So what I would probably do is be thinking about treating her for sure.