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pmid:31549445 6

However, severe reactions such as difficulty breathing, facial swelling, and anaphylaxis occur in rare cases, indicating a serious allergic reaction that requires immediate medical attention

The defect begins below the receptor When insulin binds to its receptor, it initiates a signalling sequence through the phosphoinositide 3-kinase/Akt/mTOR pathway (PI3K/Akt/mTOR), which governs glucose transporter type 4 (GLUT4) translocation the step that allows glucose to actually enter the cell

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