Patient description: The patient is a 25-year-old man with type 1 diabetes confirmed with molecular analysis 7 years ago. He presents to the clinic with shortness of breath and fatigue during activities. He claims mild dyspnea after climbing 3 floors, no dyspnea at rest and no angina (New York Heart Association class 2). He is diagnosed with cardiomyopathy that will be treated with ACE inhibitors and Beta blockers. His takes 70/30 Insulin and vitamin D supplements. His past medical history is not significant for any other medical issues. His family history is positive for DM type 1 in his uncle and his grandfather. His lab study is as bellow: FBS: 100 mg/dl HbA1c: 6.5% Cholesterol: 190 mg/dl TG: 140 mg/dl LDL: 125 mg/dl HDL: 40 mg/dl

Clinical trial eligibility criteria: eligible ages (years): 0.0-999.0,  Congenital Muscular Dystrophy (Including Unspecified/Undiagnosed) Dystroglycanopathy Congenital Fiber Type Disproportion Rigid Spine Muscular Dystrophy Congenital Myopathy (Including Unspecified/Undiagnosed) Collagen VI CMD (Ullrich CMD, Intermediate, Bethlem Myopathy) Laminin Alpha 2 Related Congenital Muscular Dystrophy LAMA2-CMD/Merosin Deficient/MDC1A Walker-Warburg Syndrome Muscle-Eye-Brain Disease Fukuyama/Fukutin Related Muscular Dystrophy Integrin Alpha 7 Deficiency Integrin Alpha 9 Deficiency LMNA-CMD/Lamin A/C/Laminopathy SEPN1-Related Myopathy Bethlem Myopathy Actin Aggregation Myopathy Cap Disease Central Core Disease Centronuclear Myopathy Core Rod Myopathy Hyaline Body Myopathy Multiminicore Myopathy Myotubular Myopathy Nemaline Myopathy Tubular Aggregate Myopathy Zebra Body Myopathy Reducing Body Myopathy Spheroid Body Myopathy LGMD1B (LMNA) LGMD1E (DES) LGMD2G (TCAP) LGMD2H (TRIM32) LGMD2I (FKRP) LGMD2J (TTN) LGMD2K (POMT1) LGMD2M (FKTN) LGMD2N (POMT2) LGMD2O (POMGnT1) LGMD2P (DAG1) LGMD2Q (PLEC1) LGMD2R (DES) LGMD2S (TRAPPC11) LGMD2T (GMPPB) LGMD2U (ISPD) LGMD2V (GAA) Ullrich Congenital Muscular Dystrophy Titinopathy Choline Kinase B Receptor Emery-Dreifuss Muscular Dystrophy RYR1 Related Myopathy SYNE1/Nesprin Related Muscular Dystrophy Telethonin Related Muscular Dystrophy (TCAP/Titin-Cap) Congenital Myasthenic Syndrome Escobar Syndrome Myofibrillar Myopathy Malignant Hyperthermia Alpha-Dystroglycan Related Muscular Dystrophy (DAG1, DPM1, DPM2, DPM3, FKRP, FKTN) Alpha-Dystroglycan Related Muscular Dystrophy (GAA, ISPD, LARGE, POMT1, POMT2, POMGnT1) Alpha-Dystroglycan Related Muscular Dystrophy (Unspecified/Undiagnosed/Other) Alpha 7/Alpha 9 Integrin Related Myopathy Collagen VI Related Myopathy (Ullrich through Bethlem CMD) Alpha-Dystroglycan Related Muscular Dystrophy (Dystroglycanopathy, WWS, MEB, Fukuyama, FKRP, LGMD2I, LGMD2K, LGMD2M, LGMD2N, LGMD2O) Choline Kinase B Receptor Emery-Dreifuss Muscular Dystrophy (EDMD, LGMD1B, LMNA, Emerin, FHL1, SYNE1, SYNE2, TMEM43) LAMA2 Related Muscular Dystrophy (Laminin Alpha 2 related dystrophy/MDC1A/Merosin deficient) LMNA Related Muscular Dystrophy (Laminopathy/LaminA/C, L-CMD, Emery Dreifuss muscular dystrophy) RYR1 Related Myopathy (with dystrophic presentation, including Malignant Hyperthermia, Exertional Myalgia with or without Rhabdomyolysis) SEPN1 Related Myopathy (Rigid Spine Muscular Dystrophy/RSMD1, Congenital Fiber Type Disproportion, Mallory Weiss Body Desmin, Multi-minicore Myopathy) SYNE1 (Nesprin Related Muscular Dystrophy) Telethonin Related Muscular Dystrophy (TCAP/Titin-Cap) Congenital Muscular Dystrophy Not Otherwise Specified (including Merosin Positive) Titin Related LGMD/CMD, LGMD2J Actin Aggregation Myopathy Cap Disease Central Core Disease (including Malignant Hyperthermia, Exertional Myalgia with or without Rhabdomyolysis) Centronuclear Myopathy (including Malignant Hyperthermia, Exertional Myalgia with or without Rhabdomyolysis) Congenital Fiber Type Disproportion (including Malignant Hyperthermia, Exertional Myalgia with or without Rhabdomyolysis) Core Rod Myopathy Hyaline Body Myopathy Multiminicore Myopathy Myotubular Myopathy Nemaline Myopathy Reducing Body Myopathy RYR1 Related Myopathy (including Malignant Hyperthermia, Exertional Myalgia with or without Rhabdomyolysis) Spheroid Body Myopathy Titin Related Myopathy, Titin Related Dialated Cardiomyopathy, LGMD2J Tubular Aggregate Myopathy Zebra Body Disease Myopathy Congenital Myopathy Not Otherwise Specified Congenital Myasthenic Syndrome Escobar Syndrome Myofibrillar Myopathy  Charcot Marie Tooth Duchenne/Becker Muscular Dystrophy Facioscapulohumeral Dystrophy/FSHD Kennedy's Disease LGMD-1A (TTID) LGMD-1C (CAV3, Caveloin 3, Caveolinopathy, LQT9, VIP21) LGMD-1D (7q) LGMD-1E (6q23) LGMD-1F (7q32.1-q32.2) LGMD-1G (4q21) LGMD-2A (CAPN3/Calpainopathy) LGMD-2B (DYSF/Dysferlinopathy/Miyoshi Myopathy) LGMD-2C (SGCG) LGMD-2D (SGCA) LGMD-2E (SGCB) LGMD-2F (SGCD) LGMD-2L (AN05/Anoctamin 5) Lipodystrophy Myotonic Dystrophy Oculopharyngeal Muscular Dystrophy Spinal Muscular Atrophy