[□]? □
[!□]? □
[□ & □]? □
Overall there were no major changes in laboratory markers for diabetes , including fasting glucose and fasting insulin levels . Additionally , favorable changes in several metabolic parameters , including fasting blood glucose , percentage of hemoglobin A1c , and total cholesterol , were observed . In individuals experiencing fasting hypoglycemia , a high carbohydrate diet and frequent feedings may be recommended . Response to therapy should be monitored by checking fasting serum prolactin levels and checking tumor size with MRI . It is likely that insulin resistant individuals present earlier with overt diabetes for any given loss of beta cell mass and increasing fasting glucose prior to onset of diabetes has been reported , a trend toward increasing fasting insulin is also found , and most important impaired glucose tolerance on oral glucose tolerance testing ( 3 ) frequently precedes overt diabetes ( 187 ) . Saliva samples were collected from 4-15 year olds and blood samples from those aged 11 and over , including fasting blood from those aged 16 and over .