Although this patient showed improvements in HbA1c and a decrease in body mass index ([BMI] from 205% of the 95th percentile, BMI 41 kg/m 2 to 202%, BMI 39 kg/m 2 ) with all prescribed medications (e.g., metformin, topiramate), adherence challenges prompted introduction of semaglutide to simplify her regimen
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Davis points out that setting realistic expectations and committing to long-term lifestyle changes are essential for lasting success
Provide specific instructions for insulin dosing, sliding scales, and oral agent management in the setting of variable PO intake and stress hyperglycemia
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A Cigna spokesperson confirmed that it was ending the coverage