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Typical ranges are one unit of insulin lispro aspart or regular may cover anywhere from 5 to 20 grams of carbohydrate. Patients respond differently to treatment, and adjustments to the plan sometimes are necessary. This can occur among people who have had intestinal surgery or those who do not produce adequate amounts of intrinsic factor, a chemical secreted by the stomach lining that combines with B12 to help its absorption in the small intestine. We have always gave her a lot of attention, usually more than our 7 year old black lab, Jo Jo. His regular doctor takes this lightly. I would have never known had it not been for my annual Mammogram. Has she traveled outside the United States recently?
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