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He added that stress management can help with blood sugar levels
Am I comfortable with potential side effects

Diabetes Care (2013) 36:234650

diabetes-nave patients have no prior activity for metformin, GLP-1s, or other diabetes medicines such as insulins, DPP-4s, SGLT-2s, etc

Obviously we do have 20 years, as you said, although it was with lower doses with individuals with type 2 diabetes using that as a group to compare to we have not seen any development of concerns that have emerged
