1. The patient was diagnosed with diabetes 1 year ago and has since started an anti-inflammatory and immune modulating treatment protocol involving omega-3 supplements, vitamin D, and their first alpha-1 antitrypsin (AAT) infusion under the guidance of Drs. Camillo Ricordi and Eli Lewis. 2. The AAT treatment is described as anti-inflammatory, immune modulating, and promoting healing and protection of native tissue while having an excellent safety profile. It may work synergistically with the omega-3 and vitamin D regimen. 3. The patient follows a low carb, high protein diet as recommended by Dr. Richard Bernstein to control blood glucose levels and prevent inflammation-driven damage, creating