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P., Simpson, M
& Paterson, D
NICE recommends continuing GLP-1 therapy only if HbA1c reduces by 11 mmol/mol and weight decreases by 3% at 6 months for diabetes indications
The people who deserve extra attention usually include: Patients with a known history of diabetic retinopathy Patients with diabetic macular edema Patients with recently worsening retinopathy Patients with poor baseline glucose control who may experience a large A1c drop Patients starting semaglutide while already under retina treatment Patients with multiple high-risk features such as kidney disease, hypertension, or long-standing diabetes In contrast, a patient with type 2 diabetes, no known retinopathy, and a recent normal dilated exam may still need routine follow-upbut often not the same level of concern as someone with active retinal disease
The options may be chosen on the product page FAQs What are the most common GLP-1 side effects
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