The case presents an inadequately complicant female patient with type 2 diabetes mellitus, which manifested at her age of 16. Multiple organ complications including a significant and severe atherosclerosis of peripheral vessels with gangrene of toes resulting from a long lasting inadequate metabolic compensation developed at the age of 31.
The patient comes from a family with a cumulative incidence of type 2 diabetes mellitus and other components of metabolic syndrome.