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A small trial in individuals with type 1 diabetes and gastroparesis found that hybrid closed loop insulin pump therapy improved the mean percentage time that blood glucose was in range (3.910 mmol/l) from 26% to 58.4%, however neither gastrointestinal symptoms nor gastric emptying were evaluated [67]

Overall, tirzepatides dual agonism of GLP1 and GIP receptors appears to provide encouraging cardiovascular benefits beyond glycemic control, offering a potential new therapeutic option for treating cardiovascular diseases and heart failure

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you have type 2 diabetes and your expectations were based on obesity-trial averages