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Patients whose blood glucose remained well-controlled with temporary insulin or other medications may have more flexibility in timing

Hyperglycaemia causes the body to work harder to eliminate excess glucose through urine, leading to dehydration and energy depletion

Research published in Frontiers in Immunology demonstrated that these patients show reduced microbial diversity, decreased populations of beneficial bacteria (including Lactobacillus and Bifidobacterium species), and increased intestinal permeability, commonly known as leaky gut

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