"Sec. 3. Legislative authorityTerm of office. The Legislative authority of this State shall be vested in a General Assembly, which shall consist of a Senate and House of Representatives, both dependent on the people; who shall hold their offices for two years from the day of the general election.

"Sec. 4. Census.An enumeration of the qualified voters, and an apportionment of the Representatives in the General Assembly, shall be made in the year one thousand eight hundred and seventy-one, and within every subsequent term of ten years.

"Sec. 5. Apportionment of representatives.The number of Representatives shall, at the several

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*189periods of making the enumeration, be apportioned among the several counties or districts, according to the number of qualified voters in each; and shall not exceed seventy-five, until the population of the State shall be one million and a half, and shall never exceed ninety-nine; Provided, that any county having two-thirds of the ratio shall be entitled to one member.19

Question 21

In the chapter on diabetes you wrote that you should avoid tablets

before age of 40 years in non-insulin-dependent diabetes mellitus

(NIDDM). Why is this, because in our country most doctors are

prescribing this?

Question 22

1. Should a patient poorly controlled on glibenclamide 15 mg a day and

metformin 1500 mg a day be moved onto insulin?

2. What are the indications for insulin in type 2 diabetics?

Question 23

What happens to the insulin-secreting capacity of a type 2 diabetic

placed on insulin therapy earlier than recommended? Can the external

supply of insulin improve the functional capacity of the insulin-secreting

cells, to some extent by providing some rest to these cells?

Question 24

1. Is inhaled insulin a suitable substitute for injectable insulin?

2. Is there, or will there soon be, insulin in the form of a tablet?

Question 25

What are the complications of insulin other than hypoglycaemia and

injection?

Question 26

I would like to know the processes that go into administering the

Alberti's/modified Alberti's regime in patients with uncontrolled

diabetes mellitus.

Question 27

Is there any role for steroids in the management of resistant diabetes

mellitus (daily insulin requirement exceeding 100 units/day)? Don't they

make glycaemic control worse?

Question 28

What is the importance of potassium chloride (KCl) in the treatment of a

diabetic patient (pre-operative care)? The formula in the text is explained

as 16 U of insulin10 mmol of KCl500 mL 10% glucose.

Question 29

What is the cut-off point of daily albumin excretion above which a

diabetic patient without hypertension should be given an angiotensinconverting enzyme (ACE) inhibitor?

Question 30

What is the urinary concentration or 24-hour urine albumin content above

which angiotensin-converting enzyme (ACE) inhibitors should be started

in diabetic patients? Does an albumin (in microgram)/creatinine (in

milligrams) ratio above 30 in the morning sample indicate a need for this?