[2] [4] Hypoglycaemia: Causes and Risk Factors Hypoglycaemia refers to abnormally low blood glucose levels, typically defined as below 4.0 mmol/L, though symptoms can occur at higher levels in some individuals
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43 , e36 (2006)
elevated GH levels promote insulin resistance through direct antagonistic effects on insulin signaling, and IGF-1-mediated GH suppression alleviates this resistance
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Dose reduction may work for select patients, but complete discontinuation remains difficult without alternative therapies or a multidisciplinary approach