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Similarly, catalpol improves glucose consumption in the insulin-resistant state of IR-HepG2 cells induced by glucosamine, enhances hepatocyte glycogen synthesis, improves glucose uptake, and upregulates Adiponectin and O-GlcNAc transferase ( 2 O 2 -induced rat insulinoma INS-1 cells and high-glucose-induced EA.hy926 cells, catalpol activates the Nrf2/HO-1 antioxidant signaling pathway, inhibits reactive oxygen species (ROS) production, reduces oxidative damage and -cell apoptosis, and promotes insulin synthesis and secretion (Xiao et al., 2022

However, sterile water is still preferred when the injection must be preservative-free