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.The Impact of Metformin in Managing Type 2 Diabetes: The Role of Insulin Resistance. Metformin is a relatively safe drug with rare side effects, which effectively improves the glycaemic control in poorly controlled type 2 diabetes patients and lowers their cardiovascular risk. The most extensively studied adverse effect of metformin is hypoglycaemia, and there is compelling evidence that it is safe, even in patients with impaired renal function. Metformin preserves pancreatic β-cell function and does not cause weight gain or decrease adipose tissue mass. The multiple metabolic effects of metformin are the reason for its wide use in the treatment of type 2 diabetes and other metabolic disorders. Metformin treatment allows tight blood glucose control with a low risk of hypoglycaemia, has minimal risk of causing weight gain and is associated with minimal risk of causing cardiovascular disease. In patients with pre-existing cardiovascular disease, metformin treatment has been shown to be associated with a lower risk of myocardial infarction, and in patients with normal cardiovascular disease, metformin treatment has been shown to lower their cardiovascular risk by decreasing the risk of cardiovascular disease. Metformin treatment has been shown to be cost effective, and its combination with sitagliptin, an oral hypoglycaemic agent, is particularly attractive for patients who cannot use insulin. In this article, we discuss the currently approved role of metformin in managing type 2 diabetes.DIGG THIS [S]ince all government schools are public schools, and since all public schools are created by and for the citizens of the United States, all public schools are created and supported by the citizens of the United States. That’s what Supreme Court Justice Robert H. Jackson had to say in his eloquent dissent in the case of West Virginia Board of Education v. Barnette, 319 U.S. 624 (1943). In the case, he said: The fundamentals of our political system rest upon the assumption that the only rightful criterion for public school selection is fitness to serve as citizens and, to this, all children are equally fitted. “Fitness” to “serve as citizens” means more than just mental and physical health; it means, in the case of public schools, having the character that is proper for the citizen of a nation ruled by law. Justice Jackson was not speaking to the issue of ensuring that children are not physically abused or are born into poverty or are deprived of

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