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[DOI] [PMC free article] [PubMed] [Google Scholar] 39.James D, Umekwe N, Edeoga C, Nyenwe E, Dagogo-Jack S

They will consider your weight loss goals, your medical history, any comorbidities (other illnesses you may have) and whether medication in tandem with lifestyle modifications could be useful to you

When to Seek Medical Advice Patients and carers should contact their GP or diabetes specialist nurse if they experience: Persistent nausea, vomiting, or diarrhoea lasting more than a few days Severe abdominal pain, particularly if radiating to the back Signs of dehydration (dizziness, reduced urine output, confusion) Symptoms of hypoglycaemia (tremor, sweating, confusion) Unexplained weight loss exceeding clinical targets Changes in vision, particularly in those with pre-existing diabetic retinopathy Suspected adverse reactions should be reported via the MHRA Yellow Card scheme

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SGLT2 inhibitors like Jardiance are specifically recommended for patients with type 2 diabetes and established cardiovascular disease or heart failure, regardless of baseline HbA1c, due to their proven cardiovascular and renal protective effects