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It's not just content with managing blood sugar

Carbs are not automatically the problem

No urge to eat anything that late at night at all

While our understanding is that the ACGME has removed its DEI-related accreditation standards, we do not believe this renders the proposed policy unnecessary, since the ACGME or another accrediting body might seek to reinstate such requirements in the future

Scherer PE, Hill JA

In the gut, metformin increases the uptake and anaerobic metabolism of glucose, contributing to the rise in lactate associated with metformin treatment [12, 13, 4249]