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As a first step, a single daily injection of an intermediate-acting (NPH) [77] or long-acting insulin analogue (insulin glargine U-100, insulin glargine U-300, insulin detemir, or insulin degludec) [78-80] may be added, particularly for people with fasting hyperglycemia
Abbreviations PH: Postprandial hypoglycemia UGIT: Upper gastrointestinal tract RYGB: Roux-en-Y gastric bypass PHH: Postprandial hyperinsulinemic hypoglycemia BMI: Body mass index PPHG: Postprandial hypoglycemia PPHH: Postprandial hyperinsulinemic hypoglycemia MH: Moderate hypoglycemia SH: Severe hypoglycemia GLP-1: Glucagon-like peptide-1 FGF19: Fibroblast growth factor 19 PBH: Post-bariatric hypoglycemia PRH: Post-Roux-en-Y gastric bypass hypoglycemia OGTT: Oral glucose tolerance test CGM: Continuous glucose monitoring MMTT: Mixed Meal Tolerance Test SG: Sleeve gastrectomy References Sheehan A, Patti ME
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Vitamin B12 injections offer a range of benefits to patients who need them
As the wealth of research continues to evolve, ongoing and future trials will help refine the role of GLP-1 RAs in a broader range of conditions and chart new therapies for the next generation of cardiovascular care
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