The patient, diagnosed with type 2 diabetes (HbA1c: 6.3%, fasting blood sugar: 115), has a BMI of 40. Insulin is not currently prescribed, but they are taking 8.5 mL of metformin. No other anti-diabetic drugs are being used. The patient follows a low-calorie diet and does not engage in regular exercise. There's no history of ketoacidosis, but they do have chronic kidney disease as a comorbidity. Hospitalization due to diabetes has not occurred.