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Page: 1 [2]Tags: nbme2    
Author22 Posts
  #21

In classical type II DM ,there is always hyperinsulinemia .Only in the very late stage the Pancreatic Beta cells burn out.,then you need exogenous insuline.

Initially the pancrease is working well ,that is why you give Oral Hypoglycemic agents which
  1. Either cause secretion of insuline (more secretion )
  2. Or enhance the effect of insuline which is already cirulating .

This is hypeinsulinemia which is responsible for
  1. Atherosclersosis
  2. HTN
  3. Lack of DKA in type II DM
  4. obesity


  #22

Excellent thread! Excellent discussion.

Am going with B Glucagon. [primarily due to his wt loss]

Wouldn't it have been great if they had provided his C-peptide level? wishful thinking....rolling eyes


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