We recently had an interesting case which we will present as a case study here. Alan (not his real name) is a middle-aged male with a family history that includes type 2 diabetes mellitus (T2dm, mother, father and both brothers), coronary heart disease (father and mother and paternal and maternal grandparents), hypertension

(mother, father and brothers) and dyslipidemia (mother, father and brothers). Alan’s medical history includes obesity (BMI 34.1kg/m2), hypertension (resting blood pressure was 146/88mmHg when we tested), dyslipidemia (total cholesterol 6.1mmol, high density lipoprotein 0.9mmol, low density lipoprotein 3.7mmol) and HbA1c (a

test for type 2 diabetes mellitus) reading of 6.3%, which classifies as prediabetes. His prescribed medications include Betaloc (antihypertensive) and Lipitor (for cholesterol) to which he is compliant.