Trace the answers from the case study and all answers must be correct.

Managerial accounting case study, the case describes Gujarat Cooperative Milk Marketing Federation Ltd (AMUL) links 10,000 village societies in India, a total of 2.1 million milk-producing families. Its business involves daily collection of milk at 25 supply centres in Gujarat; the production of butter, cheese, ice cream, baby food and milk powder; the marketing of these products through 50 sales offices throughout India; and distribution through a network of 4,000 stockists who, in turn, supply 500,000 retail outlets. Notwithstanding the traditional nature of its business, the cooperative's management decided in 1995 to adopt "information technology integration" as a strategic thrust. The objective was to create new efficiencies in all aspects of the business, heighten competitiveness, and extend market reach (both within India and in export markets).

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. Diabetes mellitus and other disorders of metabolism 19 201 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 insulin 10 mmol of KCl 500 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?