The subject of this case study is a 33-year-old African American male who presented for a routine wellness examination.

The subject of this case study is a 33-year-old African American male who presented for a routine wellness examination. His medical history is significant, with diagnoses of both diabetes and hypertension. Medical History: The patient was diagnosed with Type 2 Diabetes at the age of 28 and has been managing the condition with Metformin and lifestyle modifications, including diet and exercise. Despite these interventions, his glycated hemoglobin (HbA1c) levels have consistently been above the target range, indicating sub-optimal control of his blood glucose levels. The patient was also diagnosed with hypertension at the age of 30. His blood pressure has been managed with a combination of Lisinopril and Hydrochlorothiazide. His blood pressure readings have generally been within the target range for hypertensive patients. Presenting Symptoms: During the wellness exam, the patient reported no new symptoms. He stated that he has been adhering to his medication regimen and has been maintaining his diet and exercise routine. He denied experiencing any symptoms of hypoglycemia or hypertensive crisis such as dizziness, blurred vision, or chest pain. Physical Examination: The physical examination was largely unremarkable. His blood pressure was mildly elevated at 140/90 mmHg, but all other vital signs were within normal limits. His