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There are no medical rules that strictly forbid specific foods

Basal insulin therapy should be considered when introducing dual or triple therapy and should be intensified adding a mealtime insulin or a GLP-1 RA when glycemic control needs to be optimized [1]

doi: 10.1097/SLA.0000000000000941 150 StoneJPBallALCritchleyWRMajorTEdgeRJAminKet al

Even when the liver is not damaged these levels do not exactly follow the GH curve high concentrations of GH only bring IGF-1 levels to a certain point