**Figure 6.**

*Betty's relative values of HbA1c, BMI, and INS/d from 2015 to 2022. HbA1c has exceeded the desired reference value for a long period of time, which is illustrated by all the red percentages. Two peaks, with 275% (=110 IU/d) value INS/d during her first pregnancy in 2015, and 403% (=161 IU/d) value INS/d during her second pregnancy in 2019 (yellow stars). The last two check-ups show high insulin delivery and increased BMI with no sustainable effect on HbA1c (red box). TIR was 62% (February 9, 2022).*

**Current goal:** examine the methods for managing her increased appetite, management of hyperlipoproteinemia, hypertension, and hypoglycemia; selfmonitoring of ketones.
