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Nusca A et al (2018) Glycemic variability in the development of cardiovascular complications in diabetes

This article gives an overview on the characteristics of the various DPP-4 inhibitors in clinical use and highlights the positioning of the drug class in the guidelines for the treatment of type 2 diabetes

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Lawmakers and regulators should work to develop solutions that facilitate timely entry of generic drug-device combinations for GLP-1 receptor agonists so that manufacturers can earn reasonable returns for limited periods of time, while more patients eventually benefit from lower costs and improved access to these useful drugs

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If no effect is felt, increase the dose to 7mg/14mg