Treatment and monitoring of SAGE-DM Currently, there is no specific evidence-based treatment algorithm for SAGE-DM However, the management of SAGE-DM should be adapted from geriatric diabetes guidelines, considering the underlying aging mechanisms that may affect the response to treatment The following recommendations can thus be viewed as an adaptation of standard care within the SAGE-DM conceptual framework rather than a fully validated treatment pathway Monitoring HbA1c may be unreliable in in the elderly due to comorbidities affecting red blood cell lifespan (e.g., advanced kidney disease, GI bleeding, heart valve defects)
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Used together, they complement each other's time-release characteristics, giving you both availability and intensity of GH in circulation
Vitamin B12 is one of the nutrients your body needs to keep your nerve and blood cells healthy
Meal composition: Lean protein first (reduces nausea), then vegetables, then small amount of complex carbs