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By administering insulin, we help our patients maintain optimal blood sugar levels, thereby reducing the risk of complications associated with diabetes

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These cytokines also contribute to IR through mechanisms including inhibitory phosphorylation of insulin receptor substrate-1 (IRS-1) and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-B) pathway, while also promoting glucocorticoid resistance and HPA axis hyperactivity [80]

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Patients may present diverse symptoms and endoscopic manifestations, along with an inflammatory response of varying severity