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abnormal acid acute Amer arterial associated atherosclerosis basement membrane blood glucose blood glucose levels blood sugar carbohydrate metabolism cause cent chronic Clin clinical coma complications coronary detection diabetes mellitus diabetic acidosis diabetic nephropathy diabetic patients diabetic retinopathy diagnosis diet dietary dosage dose of insulin drugs effect excess factors fasting blood frequently fructose function genetic glomerular glucose tolerance test glycosuria hemorrhage hormone hypoglycemia increased infection insulin resistance intake intravenous glucose tolerance juvenile diabetes ketoacidosis ketonuria ketosis lactic acidosis lesions liver manifestations Medical mild neuropathy nondiabetic normal occur onset oral hypoglycemic agents pancreatic peripheral phenformin physician pituitary plasma postprandial potassium prediabetic pregnancy present Professor of Medicine prognosis Protamine Protamine Zinc Insulin protein renal retina sclerosis serum steroids studies subjects sulfonylureas surgery symptoms syndrome therapeutic therapy tissue tolbutamide tolbutamide tolerance test Treatment of Diabetes tumors urinary urine usually vascular disease vessels