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They are rapidly and efficiently absorbed after oral administration, exhibiting high bioavailability ranging from 67% to 100%, except for linagliptin, which has a bioavailability of 30% as a result of its first pass metabolism in the intestine and hepatocyte, and limited membrane permeability [73, 74] (Table 1)

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GCs antagonize the metabolic effects of insulin, particularly in the postprandial state through the induction of enzymes that promote gluconeogenesis, increased lipolysis and proteolysis, increased mitochondrial activity, the enhancement of the effects of counterregulatory hormones, such as glucagon and epinephrine, and the induction of insulin resistance via the nuclear peroxisome proliferator-activated receptor (PPAR) [4,21,25]

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People using insulin or sulfonylureas should discuss potential dose adjustments with their healthcare provider when planning to consume alcohol and should consider keeping glucagon available if prescribed

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