“…6,7 In particular, enhanced perfusion of the pancreas increases production and transport of insulin to the body, allowing for more efficient glucose utilization. 8 Small retrospective studies have reported improvements in hemoglobin A 1c (A1C), fasting blood glucose level, and circulating cortisol and catecholamine levels after LVAD implantation. [5][6][7][8] To date, however, published studies are limited by brief follow-up periods (1 year or less) and small sample sizes (between 15 and 66 patients each).…”