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What should be added next to empagliflozin (Jardiance) and metformin in a 74yearold man with type 2 diabetes who declines a GLP1 receptor agonist (semaglutide, Ozempic) and has hyperglycemia (elevated fasting glucose and hemoglobin A1c)?

They copy the action of the natural hormone glucagon-like-peptide-1 and regulate hunger and digestion

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Right now, federal Medicare is prohibited from covering GLP-1s for weight loss

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Unfortunately, these drugs can also disrupt sleep in some people, so being intentional with your nighttime routine matters