INS and Hypoglycemia: Patients with patent anastomoses showed a lowering of glycosylated hemoglobin (HbAlc) from13.3±0.03% to 9.3±0.6%, p<0.05, a decrease of the injected insulin dose from 0.97±0.04 to 0.72±0.03 U/ kg, p<0.05, disappearance or considerable abatement of pain in the lower extremities, and of hypoglycemia.