AM is a 54-year-old woman who came to Precina with an A1c of 14% in the beginning of June 2023. This was a new diagnosis for her, she was only diagnosed because she is a nurse, and she insisted on having her blood sugar checked during an urgent care visit. She was also insistent on not starting insulin. We were able to get the patient exercising, eating better, and on the right medications. Now, the patient is at target metformin dose of 2000mg per day, low-dose dapagliflozin, and low-dose semaglutide. Her a1c was 6.%1 in January of 2024. That is a drop in her A1c of 8% in fewer than 8 months.

TD was newly diagnosed with diabetes on 07/15/2023 with A1c of 10.6. He was found to have diabetes after he went to the hospital for an abscess. Upon discharge from the hospital, he was prescribed only oral Metformin 500 mg twice a day. Initially, we were going to start him on insulin but the patient wanted to control his blood sugars without insulin, using noninsulin medications, diet, and exercise. With constant education on diet and exercise, and medication compliance, the patient went from 10.6% in June, to 7.3% on August, and to 6.5% as of December.

PS is a 72 year old male patient who has gone from out of control on insulins, to off insulins altogether. He was formally diagnosed with diabetes a year ago, after his third visit to a third hospital. He was admitted, diagnosed with type 2 diabetes with a glucose of 259 mg/dL and an A1C of 14%. At discharge, he was started on a basal insulin at 30 Units at night, and a bolus insulin of 3U with meals, as well as metformin. At first, we titrated his insulins to achieve glucose control. Over the next twelve months, committed to diet, lifestyle and exercise intervention, he managed to come off the insulins entirely, and has been optimized with medical management. His A1c as is 5.7%

SL is a 35-year-old female with type 2 diabetes mellitus. She came to Precina on only a basal bolus insulin regimen. Her blood sugars were consistently between 200 to 350 mg/dL and her A1c was 11.5%. In the first few weeks, her insulins were titrated and achieved adequate glucose control, fasting sugars between 80 and 120 mg/dL. Over the first three months, metformin, dapagliflozin, and semaglutide were initiated and titrated up, while diet and exercise interventions were started. At month nine, her A1c was 7.3%, she was off all insulins, fasting glucose were 90-120 mg/dL, and she had lost 60 pounds.

KM was a 52-year-old man when he suffered a stroke. The stroke got him hospitalized. It was during the work up for that stroke that he was diagnosed with type 2 diabetes. His A1c at the hospital was 18% (eighteen). Prior to meeting us, he never owned a smartphone and refused to own a smartphone. His wife used the Precina app for him on her cell phone. Three months later, he owned a smartphone and had achieved an A1c of 8.1%. Over the next six months his A1c and insulin requirements were further reduced. “My husband never would buy a smartphone. He had a stroke, but it was Precina that changed his mind.”