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When blood glucose concentrations are normal or elevated, GLP-1 and GIP increase insulin synthesis and release from pancreatic beta cells by intracellular signaling pathways involving cyclic AMP
The best ophthalmologists can offer is monitoring to ensure the condition doesnt affect the second eye, which carries approximately 30% lifetime risk
Clinical trials of sodiumglucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 (GLP1) receptor agonists have shown beneficial effects of these agents on kidney outcomes in patients with type 2 diabetes mellitus
When in doubt, just give 100 mg IV thiamine as an IV push
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