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Indeed, besides a familial component in insulin resistance, as in general population, patients with PWS have fairly low fasting insulin concentrations and a lower incidence of insulin resistance compared to that expected considering the body mass index (BMI), probably due to a greater distribution of adipose tissue in the subcutaneous than in visceral site [15, 29, 30]

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Haemoglobin A1C (HbA1c) Glycosylated Hemoglobin Average Blood Glucose Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) Index Test 2

It also decreases gastric emptying time, meaning food passes through your gut much more slowly, and stimulates and improves the release of insulin, which helps manage your blood sugar