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Efficacy and safety of once-weekly semaglutide versus once-daily sitagliptin as an add-on to metformin, thiazolidinediones, or both, in patients with type 2 diabetes (SUSTAIN 2): A 56-week, double-blind, phase 3a, randomised trial

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For individuals with mildly elevated blood glucose levels during hospitalization, DPP-4 inhibitors may be considered with or without basal insulin therapy

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Both approaches significantly lowered HbA1c levels (weighted mean difference [WMD] 0.75%, 95% CI 0.97 to 0.53) but increased hypoglycemic risk [risk ratio (RR) 7.59, 95% CI 3.3517.17] compared to the unchanged GLP-1RA

The medication should not be disposed of in household trash or flushed down toilets or drains, as this can contribute to environmental contamination