case_images: PMC11807567_01
case_images: Clinical course of the patient. The bar graph at the bottom depicts the total daily insulin requirement. The dashed line with closed triangles indicates fasting blood glucose levels, while the thick solid line with closed circles shows body weight. The thin solid line with open squares denotes HbA1c levels. Values within parentheses with "+" or "-" signs indicate changes in urinary ketone levels over time. Gray-shaded bars at the top represent the dosage of metformin administered during the observation period.. HbA1c: glycohemoglobin A1c
case_images: cureus-0017-00000077247-i01.jpg
case_images: PMC11807567_01_cureus-0017-00000077247-i01.jpg
case_images: FIG1
case_images: During this period, blood glucose levels remained within 140-270 mg/dL (Figure 1), and urinary ketones became negative on day 10. Four weeks later, HbA1c had improved to 8.0% with a lower metformin dose, stabilizing at 5% by week 8 (Figure 1).