dysglycaemia

57 yo F with obese client multiple health complications

Hi, looking for some guidance with a client and where to go next with her. Female, 57, married, 3 kids, 18st 4lbs, 5”1. BMI 45. Morbidly obese. Came for weight loss Type II diabetic (developed gestational diabetes with first pregnancy 1985). 1991 Fell playing squash, stayed playing, and knee replacement…