Susan Fones is a 34-year-old teacher who comes in every 6 mo…
Susan Fones is a 34-year-old teacher who comes in every 6 months for her cleaning. She was diagnosed with diabetes as a child and gives herself insulin injections daily. She is concerned about her bleeding gums and has noticed mobility of her lower anterior teeth. She reports an extremely dry mouth and a burning tongue. She has taken her insulin today at 6:00 a.m. and indicates that its peak action occurs between 2 and 3 hours after the injection. Which of the following etiologic factors is related to the development of this type of diabetes?
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