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Dr Jason Fung on T2 Diabetes and Drugs
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<blockquote data-quote="ringi" data-source="post: 1503383" data-attributes="member: 410240"><p>As soon as SGLT2 inhibitors (Farxiga) have been in use for long enough for any long term side effect to be know, I think they should replace Gliclazide on the NICE flow chart, maybe even alongside Metformin without waiting to see if the Metformin works on its own.</p><p></p><p>I also think it may be worth offering Metformin and Farxiga to anyone that commits to “low carb training” without first waiting to see if diet and exercise works. Offer a small reward to anyone that controls their BG well enough for come off them, rather than wasting 3 months before they are started.</p><p></p><p>I think self monitoring of BG can be such a big motivator that it should be standard, but how do we stop people just writing down the number, without thinking about it and taking action when needed? Just having the Low Carb Training being led by people who have proved it works would be a great ideal.</p><p></p><p>I think <em>most </em>people with Type2 could turn it round, provided it is not left for many years to damage their organs.</p></blockquote><p></p>
[QUOTE="ringi, post: 1503383, member: 410240"] As soon as SGLT2 inhibitors (Farxiga) have been in use for long enough for any long term side effect to be know, I think they should replace Gliclazide on the NICE flow chart, maybe even alongside Metformin without waiting to see if the Metformin works on its own. I also think it may be worth offering Metformin and Farxiga to anyone that commits to “low carb training” without first waiting to see if diet and exercise works. Offer a small reward to anyone that controls their BG well enough for come off them, rather than wasting 3 months before they are started. I think self monitoring of BG can be such a big motivator that it should be standard, but how do we stop people just writing down the number, without thinking about it and taking action when needed? Just having the Low Carb Training being led by people who have proved it works would be a great ideal. I think [I]most [/I]people with Type2 could turn it round, provided it is not left for many years to damage their organs. [/QUOTE]
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