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  • ism are induced, these include1,23,34,42: ?? Enhanced peripheral uptake and utilisation of glucose by the wound and other organs such as the liver and spleen, which are involved in the immune response; ?? Increased glucose production stimulated by the release of epinephrine, cortisol, glucagon and growth hormone; ?? Hyperlactataemia due to hypoperfusion; ?? Decreased glucose production due to the
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