[Answered]: A 45-year-old woman presents with hyperglycemia

A 45-year-old woman presents with hyperglycemia. She has a medical history of diabetes mellitus diagnosed 10 years ago which is uncontrolled by diet, exercise, and oral hypoglycemic medications. Insulin therapy was recommended and initially trialed five years ago, however, the patient continuously was nonadherent and subsequently refused due to an excessive anxiety about potential side effects including potential weight gain. Her hemoglobin A1c is currently 11.5%. She has diabetic nephropathy, gastroparesis, peripheral neuropathy, and retinopathy. Which of the following is the most appropriate diagnosis? Conversion disorder Factitious disorder Illness anxiety disorder Psychological factors affecting other medical conditions