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References MHRA
Why Blood Sugar May Not Be Very High In classic DKA: Insulin deficiency severe hyperglycemia In euglycemic DKA: Some insulin is still being administered Blood glucose may appear only mildly elevated But insulin is insufficient to prevent ketogenesis This can delay recognition because: Patients and clinicians may not suspect DKA with glucose under 250 mg/dL Symptoms may initially resemble dehydration or GI illness Additional Contributing Factors GLP-1 use in Type 1 diabetes may also increase DKA risk due to: Vomiting dehydration stress hormones ketone rise Intentional insulin reduction due to fear of hypoglycemia Reduced basal insulin during weight loss Increased glycemic variability from delayed gastric emptying Hypoglycemia and the Insulin Reduction Trap Another issue is the cycle that can develop: Appetite decreases Insulin dose is reduced Hypoglycemia occurs intermittently Insulin is reduced further Ketone production increases Over time, this can push the patient into metabolic instability
Cardioprotective effect of paeonol and danshensu combination on isoproterenol-induced myocardial injury in rats
ACOG, 2021
They intend to help more people living with chronic diseases afford the treatments they need as well as eliminate the lure of risky, potentially unsafe, compounded "semaglutide" knockoffs
Gut 62:606615 Bhat A, Sebastiani G, Bhat M (2015) Systematic review: preventive and therapeutic applications of metformin in liver disease
