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how to treat pulmonary HTN pt ? what would be line of treatment?
thank u so much sir
thank u so much sir
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1] if fasting blood sugar level is high then we have to think about liver metabolism , as per twin cycle hypothesis accumulation of liver fat with eventual spill over into the pancreas. These self-reinforcing cycles between liver and pancreas eventually cause metabolic inhibition of insulin secretioRead more
1] if fasting blood sugar level is high then we have to think about liver metabolism , as per twin cycle hypothesis accumulation of liver fat with eventual spill over into the pancreas. These self-reinforcing cycles between liver and pancreas eventually cause metabolic inhibition of insulin secretion after meals and onset of hyperglycaemia.
2] check for stress realated history, stress is one of the reason for FBS ,in this condition u can do ABPM and check dipping pattern.
3] dawn phenomenon and the Somogyi effect,These causes of high morning blood sugar levels are a result of body changes and reactions that happen while sleeping.
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