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The authors highlighted their stepwise approach to insulin reduction, which involved prompt weekly insulin dose decreases of 1020% when preprandial or fasting glucose levels were consistently between 80 and 130 mg/dL
Bottom line: Consistent site rotation and proper skin preparation reduce the likelihood of irritation, making your post-injection bath a much more comfortable experience
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Consider working with a registered dietitian during your time on medication and particularly during the transition off medication before conception
In 2022, updated Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guidelines recommended SGLT2i as first-line therapy for patients with estimated glomerular filtration rate (eGFR) 20 mL/min/1.73 m 2 (previously 30 mL/min/1.73 m 2 ) and GLP-1 RA as an additional therapy option for patients with insufficient glycemic control as part of a comprehensive risk-reduction approach for people with type 2 diabetes and CKD [5, 6, 14]
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