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The American Diabetes Association states that type 2 diabetes patients typically get their HbA1c checked every two years or more often, as some recommend every three months until blood sugar targets are achieved

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According to NICE guidance (NG28), GLP-1 receptor agonists are typically considered for type 2 diabetes when metformin is contraindicated or not tolerated, or in combination with other treatments when specific HbA1c and BMI thresholds are met

By bedtime, the initial response has typically mellowed

This exaggerated hunger response appears to be a compensatory mechanism where your body attempts to restore its original metabolic set point