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Key Points: - GLP-1 is the first-line injectable for poorly controlled type II diabetes, preferred over insulin due to its favorable metabolic profile. - When adding a GLP-1 to a patient already on insulin: - If blood sugar is well controlled (Hgb A1c less than 8% or time in range greater than 50%), reduce insulin by 20%. - If blood sugar is not well controlled (Hgb A1c greater than 8% or time in range less than 50%), start GLP-1 without adjusting insulin. - As GLP-1 dosage increases, insulin needs typically decrease. - SGLT2 inhibitors have a less potent effect on glucose but may warrant insulin dose reduction. Core IM interviews Dr. Tom Martens who explains how he goes about adjusting insulin regimens as he adds GLP-1 or SGLT2is to diabetes regimens. Although he explains that GLP-1 therapy is now first line therapy for type 2 diabetes, he provides insight on how to add on these treatments in patients previously prescribed insulin while mitigating risk of hypoglycemia. Credits: Discussant: Dr. Tom Martens Interview: Dr. Rebecca Easly-Merski Video: Jason Krastein & Dr. Alice Kennedy #continuousglucosemonitor, #cgm, #insulin, #glp1, #endocrinology, #diabetes, #prevention, #primarycare, #internalmedicine, #medicaleducation, #residency, #CoreIM, #IMcore

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The ketogenic diet has become wildly popular in recent years as an effective way to lose weight and improve overall health. By drastically reducing carbohydrate intake and replacing it with fats, the body enters a state of ketosis where it burns fat for fuel instead of carbohydrates. While many people have seen success with the keto diet, some struggle to achieve their desired results. That’s where Keto Max 800 comes in.

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Keto Max 800 is a powerful supplement designed to enhance the effects of the ketogenic diet. Made with natural ingredients, Keto Max 800 helps the body reach ketosis faster and stay in that fat-burning state longer. By taking Keto Max 800 in conjunction with following a keto diet, users can experience increased energy, faster weight loss, and improved mental clarity.

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As seen on Shark Tank, Keto Max 800 has garnered attention for its innovative approach to keto supplementation. The sharks were impressed by the science behind Keto Max 800 and the testimonials from users who have seen incredible results. If you’re looking to maximize your keto results and take your weight loss journey to the next level, Keto Max 800 may be just what you need.

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Keto Max 800 works by providing the body with exogenous ketones, which are ketones that are produced outside the body. These ketones help jumpstart the process of ketosis, making it easier for the body to switch from burning carbohydrates to burning fat for fuel. By taking Keto Max 800, users can experience increased energy levels, reduced appetite, and faster weight loss.

In addition to exogenous ketones, Keto Max 800 also contains other natural ingredients that support overall health and well-being. From boosting metabolism to improving digestion, Keto Max 800 provides a comprehensive approach to enhancing the benefits of the ketogenic diet. With regular use, users can see significant improvements in their weight loss journey and overall health.

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There are numerous benefits to using Keto Max 800 in conjunction with the ketogenic diet. One of the main advantages is the increased energy levels that many users experience. By allowing the body to burn fat for fuel, Keto Max 800 provides a more sustained source of energy compared to carbohydrates.

Another benefit of Keto Max 800 is its ability to aid in weight loss. By speeding up the process of ketosis, users can see faster results on the scale and in their physical appearance. Additionally, the appetite-suppressing effects of Keto Max 800 can help users stick to their diet and avoid unnecessary snacking.

Is Keto Max 800 Right for You?

If you’re following a ketogenic diet and looking to maximize your results, Keto Max 800 may be the supplement you’ve been searching for. Whether you’re just starting out on your keto journey or hitting a plateau in your weight loss, Keto Max 800 can help you reach your goals faster and more efficiently.

With its powerful blend of exogenous ketones and other natural ingredients, Keto Max 800 is a safe and effective way to enhance the benefits of the ketogenic diet. Say goodbye to sluggish energy levels and slow weight loss – with Keto Max 800, you can take your keto results to the next level and achieve the body of your dreams.Day39 With Keto Diet Minivlog Strengthandgrowth Highfatdiet Gym Motivation Ketodiet

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