Nakori is a 52-year-old man from Nauru, a Pacific island off the coast of Australia. He is of French/Polynesian descent. He has had Type 2 diabetes and hypertension diagnosed for 3 years.

Two months ago he had a left fore foot amputation for a non-healing foot ulcer. He presents today with lethargy and a two day history of shakes.
On questioning Nakori tells you that:

"The last few weeks I've had no energy to do anything at all, and no, I haven't been monitoring my blood glucose and I've neglected my feet a bit too."