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Smith said

Wang, D., Xie, K., Zou, D., Meng, M

Be aware that these carry a small risk of euglycaemic diabetic ketoacidosis DPP-4 inhibitors (e.g., sitagliptin, linagliptin), which are generally well tolerated but less effective for weight reduction Metformin , if not already prescribed, remains the first-line oral agent for type 2 diabetes, though it can also cause gastrointestinal upset Insulin therapy , which may be necessary if oral agents and GLP-1 agonists are not tolerated or insufficient, though this carries a risk of hypoglycaemia When discussing alternatives with your GP, consider bringing up: The severity and duration of your symptoms Any dietary or lifestyle modifications you have already tried Your treatment priorities (e.g., cardiovascular protection, convenience) Other medical conditions or medications that may influence treatment choice NICE guidance (NG28) recommends individualised treatment approaches for type 2 diabetes, taking into account patient preferences, comorbidities, and tolerability

Kathawa chose to open her Sterling Heights practice because she saw a real need in the Macomb County community

Side effects like nausea, vomiting, or constipation

Gordon's pioneering work has challenged conventional medical paradigms, paving the way for a new era of personalized medicine that prioritizes individualized treatment plans tailored to each patient's unique needs