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Key Points The rate of gastric emptying is a critical determinant of postprandial glycaemia Disordered gastric emptying is common in patients with longstanding type 1 diabetes mellitus and type 2 diabetes mellitus

Always discuss any combination approach with a qualified healthcare provider before starting

Helicobacter pylori (Hp) is now considered as the primary etiological factor of acute, chronic active and finally atrophic gastritis leading to gastro-duodenal ulcerations, gastric MALT lymphoma or cancer (1-5)

medRxiv , 2025.03.06.25323524 (2025).

it simply escalates on schedule

Evidence-based strategies include prioritising protein intake (6080 g per day as advised by your dietitian), increasing physical activity in line with UK CMO guidelines at least 150 minutes of moderate-intensity exercise per week incorporating resistance training, and practising mindful eating