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Resolving the KgA1c paradox in the management of type 2 diabetes mellitus
Jaime Davidson1, Sanjay Kalra2, Vikram Singh3
1Touchstone Diabetes Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Abstract:
Excess body weight is a leading cause of metabolic complications such as hypertension and dyslipidemia in T2DM patients. Available antihyperglycemic agents have minimal or no impact on these complications and a majority are known to trigger weight gain, thereby exerting a paradoxical effect on overall metabolic status. This review introduces the concept of 'KgA1c paradox' and underscores the significance of resolving this paradox for comprehensive T2DM management. It provides a therapeutic rationale for inclusion of sodium glucose cotransporter 2 inhibitors in the T2DM treatment algorithm as these agents have demonstrated favorable glycemic effects along with reduction in body weight.
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