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GLP-1 medications are not intended to replace nutrition and physical activity changes

Decreased dipeptidyl peptidase-IV activity and glucagon-like peptide-1 (7-36) amide degradation in type 2 diabetic subjects

Furthermore, people with reduced kidney function should avoid it

Insulins lead to marked HbA 1c reductions and have a lower risk of GI effects but can lead to weight gain and are generally associated with a higher risk of hypoglycaemia than GLP-1RAs, which would present significant occupational implications for this patient

What is most important is staying consistent and following the protocol assigned by the provider since steady adherence leads to the best long-term outcomes