35-year-old woman with polyuria
History of present illness: A 35-year old woman presents today for follow-up after recent diagnosis with type 2 diabetes. She was given metformin and insulin, and bloodwork reveals an improvement of her blood glucose levels and A1C. The patient reports being unable to sleep through the night because she suffers from frequent urination and has dizzy spells.
Social history: Patient denies illicit drugs, alcohol, and tobacco. Patient lives with her husband and plans on having children in the next couple of years. She is interested in pursuing fertility treatments.
Medications: Metformin. Insulin.
What further testing would you perform on this patient to characterize her illness?
What medication options or lifestyle changes would you explore with this patient in order to control her symptoms?
Do you have any concerns about potential fertility treatment?