A sixty-year-old diabetic male presented to the emergency department with acute onset, central squeezing type of chest pain, which is severe in intensity and not relieving even after taking rest.

(i) What is the most probable diagnosis?

(ii) How will you investigate the case to reach the diagnosis?

(iii) Outline the steps in the management of the case.

3Medium10 marks

Discuss about the longer acting insulin analogues. How are they different from insulin preparations? Mention the therapeutic uses and adverse effects of insulin.

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