New recommendations for managing glucose levels (Roizen article)

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New recommendations for managing glucose levels

Only about half of folks with Type 2 diabetes have their blood sugar under control and regularly achieve an A1C of 7% or less. That puts them at increased risk of complications such as retinopathy and kidney disease. The reasons for lack of control range from poor nutritional and exercise habits to insufficient response to prescribed medication. But whatever the cause, finding a solution that can help a person achieve a healthy blood sugar level is essential.

The American College of Physicians has issued new recommendations that they think will make a significant difference. In addition to taking metformin and making lifestyle adjustments, they say folks with Type 2 diabetes should take an SGLT-2 inhibitor like Jardiance or Farxiga or a GLP-1 agonist like Trulicity, Byetta or Ozempic.

GLP-1s trigger insulin release, slow stomach emptying, block glucagon, and increase satiety. The ACP says that helps protect you from major cardiovascular problems like heart attack and stroke. The SGLT-2s help the kidneys clear sugar out of your body and reduce the risk of cardiovascular events, worsening of kidney disease, and hospitalization for congestive heart failure.

There are potential side effects from both medications, including serious gastrointestinal reactions, kidney injury, ketoacidosis, and low blood sugar. So, if you have uncontrolled Type 2 diabetes, ask your doctor about these new recommendations and what’s best for you. 

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