Possible causes of hypomagnesemia in patients with type 2 diabetes Decreased intake poor oral intake esophageal dysfunction diabetic gastroparesis Enhanced gastrointestinal loss diarrhea as a result of autonomic dysfunction Enhanced renal magnesium loss enhanced filtered load glomerular hyperfiltration osmotic diuresis (glucosuria) volume expansion as a result of excessive volume replacement metabolic acidosis (diabetic ketoacidosis) hypoalbuminemia microalbuminuria and overt proteinuria reduced renal reabsorption endocrin
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