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A 34-Year-Old Man Comes to the Office with His Girlfriend for a Type

Question 80

Multiple Choice

A 34-year-old man comes to the office with his girlfriend for a type 1 diabetes mellitus check-up. He was diagnosed with diabetes 15 years ago and is currently on a combination of basal and rapid-acting insulin injections. The patient has had intermittent episodes of hypoglycemia, with blood glucose levels ranging from 35 to 54 mg/dL. He was taken to the emergency room two weeks ago after passing out due to low glucose levels. When hypoglycemia is associated with impaired consciousness, the patient is prescribed an injectable medication to be administered at home by a caregiver. This medication rapidly improves hypoglycemia by which of the following mechanisms?


A) Decreasing uptake of glucose by fat and muscles
B) Decreasing uptake of glucose by the liver
C) Increasing gastrointestinal absorption of glucose
D) Increasing gluconeogenesis
E) Increasing glycogenolysis

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