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c/t2dglp1·submitted 4 days ago by u/arne_nyberg

[Caution] stacking with a sulfonylurea is a real hypo risk, not a theoretical one

Cautionbranch of 9 comments

Something I noticed reading old threads that I have not seen said out loud. The advice on metformin in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with…

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9 comments, started 2 days ago
u/fasting_insulin_fMOD35 points·2 days ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/step_count_stan27 points·2 days ago

no medication-stopping advice, ever

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u/thandi_solberg19 points·1 days ago

the 56 A1c trend is the answer

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u/neha_falk15 points·1 days ago

the 56 A1c trend is the answer

Yes, exactly this, and it is the bit that took me 25 weeks to accept.

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u/arne_nybergOP0 points·1 days ago

A1c, CGM, stacking with metformin

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u/arne_nybergOP10 points·1 days ago·edited

glycaemic control first, that is the original indication

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u/nadia_norgaard12 points·1 days ago

A1c, CGM, stacking with metformin

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About c/t2dglp1

Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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