29th May 2025

A 60-year-old male, with a BMI of 31, presents to his GP with fatigue, polyuria, and polydipsia.

A 60-year-old male, with a BMI of 31, presents to his GP with fatigue, polyuria, and polydipsia. On examination, he exhibits central obesity and has a blood pressure of 165/96. He has no family history of diabetes but struggles to engage in regular physical activity and follow a well-balanced diet. He consumes roughly 21 units of alcohol per week and has never smoked. A fasting glucose measurement is taken and found to be 10.2. Additionally, he has elevated liver enzymes and triglyceride levels. What underlying condition is most likely contributing to the development of type 2 diabetes mellitus (T2DM) in this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.