A 55 year old obese male (BMI 33.1) comes to see you with complaints of weight gain and fatigue. His history is significant for hypertension and...

A 55 year old obese male (BMI 33.1) comes to see you with complaints of weight gain and fatigue. His history is significant for hypertension and hyperlipidemia. These are controlled with medications. You check a random fasting blood sugar in the office and it is 150 fasting. His point of care HgBA1C is 6.6