An old ally to address the “triple threat”

The patient is a 32 year old female with obesity complicated by Type 2 Diabetes Mellitus and hyperlipidemia. Diabetes mellitus was first diagnosed at the age of 26 – insulin autoantibodies were negative and endogenous insulin production was adequate. However, glycemic control remained persistently poor (HbA1c 9.4 – 11.9%) despite large doses of basal and prandial insulin (total insulin dose of 1.7 units/kg/day). Of significance, the patient had multiple ps ychiatric comorbidities, including psychotic depression, anxiety neuroses with somatisation and borderline personality disorder.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Commentary Source Type: research