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But type 1 diabetics, especially those with obesity, often have insulin resistance and thus many of the same health issues as those with type 2 for example, nerve damage , foot ulcers and eye damage, all due to uncontrolled blood sugar

In addition, quality testing by manufacturers has found unknown impurities in some compounded samples up to 33 percent, which explains why clinicians treat compounding as a last-resort access strategy rather than a clinical equivalent

Meta-analyses of SGLT-2 inhibitor trials consistently show elevated rates of both urinary tract infections and genital mycotic infections

Medical supervision is required when using both medications