Description
A 57-year-old female was referred with a history of type 2 diabetes mellitus, hypertension and hyperlipidaemia. She was complaining of generalised weakness, lethargy and pedal swelling. She had a good appetite and was gaining weight. Other systemic inquiry was normal. There was no history of diarrhoea, vomiting or abdominal discomfort. She was a non-smoker and took no alcohol. There was no family history of hypertension, ischaemic heart disease or diabetes mellitus.

