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Second, a shift of T cells toward a pro-inflammatory profile may exacerbate insulin resistance

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Patients should be educated about DKA symptoms (nausea, vomiting, abdominal pain, excessive thirst, frequent urination, fatigue, fruity-scented breath) and when to seek urgent care

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The patient was prescribed dulaglutide 1.5 mg five weeks later, but never filled the prescription due to cost