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The most common reasons for resistance to initiate insulin were restrictiveness (insulin therapy would restrict my life), low self-efficacy (I am not confident I could handle the demands of insulin therapy), personal failure (insulin therapy would mean I had failed) and permanence (once you start insulin you can never quit) [13]

J Hepatol 68:362375

In the short term, eating smaller portions may reduce sharp spikes and crashes in blood glucose, while over the long term, weight loss can improve insulin sensitivity

Pharmacokinetics and pharmacodynamic effects of oral GLP-1 and PYY3-36: a proof-of-concept study in healthy subjects

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