Obese and hypertensive elderly patient, with incipient diabetic nephropathy and previous cardiovascular event, long-term treated with secretagogues

Paziente anziano obeso e iperteso, con incipiente nefropatia diabetica e pregresso evento cardiovascolare, trattato a lungo con secretagoghi

Abstract

We report the case of a 75-year old patient affected by type 2 diabetes for about 20 years, treated for a prolonged period with insulin secretagogues. He is also affected by arterial hypertension, obesity and incipient diabetic nephropathy and had suffered a cardiovascular event. He was referred to us by his GP to verify his high values of glycated hemoglobin (HbA1c) and for an excessive weight increase (Diabetology)