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The arcuate nucleus contains two distinct populations of neurons: one that produces neuropeptide Y (NPY) and agouti-related peptide (AgRP ) and another that produces pro-opiomelanocortin (POMC) and cocaine- and amphetamine-regulated transcript (CART)
What helps: Screen with the 2-item Diabetes Distress Scale (DDS2): "How often do you feel overwhelmed by your diabetes regimen?" Simplify regimensonce-daily basal insulin or GLP-1 RAs reduce decision fatigue Lower the bar temporarilyidentify "minimum acceptable care," not ideal care Refer to diabetes psychologythis has a biological treatment target The bottom line: Diabetes Burnout is real, common, and measurable in the HPA axis, immune system, and metabolic pathways
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Cmpralo hoy y recibe en los prximos 6-12 das hbiles
