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This means starting 20 to 32 weeks before show day, depending on your prep length

[DOI] [PMC free article] [PubMed] [Google Scholar] 173.American Diabetes Association Professional Practice Committee

If you take Rybelsus as monotherapy (your only diabetes medication), your diabetes team may recommend: Increased home blood glucose monitoring checking levels at least four times daily (fasting and before meals) to identify any deterioration in control Dietary modifications maintaining a balanced, consistent carbohydrate intake whilst avoiding excessive simple sugars Specialist input in some cases, your diabetes team may recommend additional measures if your glucose control deteriorates significantly For patients on combination therapy , your existing medications (such as metformin) will typically be continued with possible dose adjustments

But you can also encourage better body composition on your weight loss journey through your activity habits as a whole