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A total of 62.8% of the patients in the without prior cholecystectomy group required acarbose associated with dietary modifications to control hypoglycemic episodes, and in the cases of the with prior cholecystectomy group, the percentage of patients who required acarbose was higher (79.3% vs 62.8%, respectively), albeit the difference was not statistically significant ( p = 0.096, Table 3)

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However, in diabetic cardiomyopathy, there is a disruption in the quality control of mitochondria, which results in an inadequate fusion process, increased fission, and fragmentation [69]