sglt2 glp 1 combination Perspectives in weight control in diabetes – inhibitors and GLP-1–glucagon dual agonism Triple combination therapy may be
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SGLT2 inhibitors, used in the treatment of type 2 DM, have an average half-life of 11-13 hours, so most articles suggested withholding the drug three days before any elective surgery but some articles suggested a longer withholding period based on other precipitating factors contributing to euglycemic DKA

However, there are heavier controls in Medicare for anti-diabetic GLP-1s than SGLT2s, as new patients attempting to fill GLP-1s increasingly face prior authorization (PA) restrictions

These may include empty glass insulin vials or cartridges, insulin syringes, pen cap needles, glucose meter lancets, and insulin pump infusion sets or CGM supplies.