“…18 Isolated hepatic resistance to insulin, despite normal or increased peripheral insulin sensitivity, has also been shown in T3cDM due to CP, 19 pancreatic cancer, 20 pancreatic resection, 21 and cystic fibrosis, 22 and an increase in hepatocyte PP receptors, now referred to as Y4 receptors, 23 has been shown in CP. 24 Administration of PP has been shown to improve hepatic sensitivity to insulin and glucose homeostasis in rats, 10,25 dogs, 9,26,27 and patients 28,29 with T3cDM due to CP or pancreatic resection.…”