Patient background

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P is a 30-year old long-distance delivery driver from Newcastle, England. He was diagnosed with Type 2 diabetes 3 years ago following a routine optician's eye test. On presentation, background diabetic retinopathy was confirmed. He is 1.63 m tall and weighs 113 kg. P has a family history of Type 2 diabetes and his father was diagnosed 10 years ago at the age of 44.

Patient notes

P is currently prescribed 500 mg metformin. However, since his first prescription over 2 years ago, he has not ordered any repeat prescriptions. P has experienced problems with compliance since he was first diagnosed. At presentation, he was prescribed 500 mg metformin once a day to be steadily increased to 1000 mg twice daily, but became noncompliant when he experienced diarrhoea at higher doses.

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