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PMA Entrance Exam Reviewer 2019-2020 – Economic Psychology Studies
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In conclusion, an inappropriate ketosis in diabetes results from the action of excess hepatic de novo lipogenesis and hyperinsulinemia. The DKA is a novel ketosis. The MNT-induced ketosis is due to hepatic insulin resistance. The net ketosis in diabetes is not altered significantly by metformin treatment. A high insulin level was shown to be the most important factor for ketosis.

Conflict of interest {#FPar1}
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The authors declare that they have no conflict of interest.

Ethics approval and consent to participate {#FPar2}
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The study was approved by the Institutional Review Board of the First Affiliated Hospital of Sun Yat-Sen University.

Funding {#FPar3}
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This work was supported by

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