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Insulin is a peptide therapeutic used to manage type 1 diabetes, which affects more than 20 million people worldwide according to the international diabetes federation. a significant limitation to the broad distribution and use of insulin to treat type 1 diabetes is the fact that it must be administered by injection rather than orally. why is insulin administered by injection and not orally?

What three factors shape our personality

A5-year-old boy suddenly begins coughing while eating peanuts. he is choking and gagging. when he is brought to the ed, but he is awake and is able to give his name. on physical examination, his vital signs are stable. on examination of the chest, inspiratory stridor and intercostal and suprasternal retractions are apparent. which of the following is the most appropriate initial step in management? - allow patient to clear foreign object by spontaneous coughing- clear oropharynx with multiple blind sweeps with finger- position patient and perform back blows- stand behind patient and perform abdominal thrusts- perform emergency tracheostomy and take to surgery