Suite 305 233 E. Lancaster Ave. Ardmore, PA 19003 , Affiliate, MLHS Office: 610-642-6800 Fax: 610-642-6850 E-mail: [email protected] www.schwartzdiabetesdoc.com Diabetes, Cardio-Metabolic Newsletter Argument for minimizing Insulin Use 8/15/2016 In normal physiology, liver sees 3 x more insulin (from portal system) than periphery to decrease hepatic glucose productionThus to achieve even a modicum of decreased hepatic glucose production, exogenous insulin administration results in hyperinsulinism Thus strong argument for not using insulin early, but only after failiny 3-4 non-insulin treatments
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