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In the Standards of Medical Care in Diabetes2021, the ADA recommend that for people with indications of high risk or established CKD either a sodium-glucose co-transporter-2 inhibitor (SGLT2i) or a glucagon-like peptide-1 receptor agonist (GLP-1 RA) be considered as a treatment option, independently of metformin use [15]

Move to a completely fresh injection site that has not been used in at least two months

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Diabetic patients are also at an increased risk for vascular problems and hypoglycemia, which can contribute to conditions like NAION