Teresa, 79, has a history of type 2 diabetes and hypertension. She presents after sustaining a skin tear while turning over a compost heap at the community garden where she volunteers.
She recalls the garden fork slipping from her hand and striking her above her left ankle. She applied some pressure to the wound, but one of the other volunteers at the garden brought her to her GP after noticing her limping.
Teresa takes metformin 1g daily and perindopril 4mg daily. Her last HbA1c, performed a month earlier, was 7.7 per cent.
