INS and type 2 diabetes mellitus: A 65-year-old male presented at the bariatric center for morbid obesity with a BMI of 48.82 kg/m2 and the associated comorbidities type 2 diabetes mellitus (T2DM) treated with long-term insulin, primary hypertension (HTN), obstructive sleep apnea (OSA) managed with continuous positive airway pressure (CPAP), and coronary artery disease (CAD) with left circumflex artery stenting in July 2022.