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Blood sugar should be monitored closely with GLP-1 for type 1 diabetes, often using frequent fingerstick checks or continuous glucose monitoring

While frank hyperglycemia is uncommon, those with underlying insulin resistance or diabetes should be monitored for any change in glucose control

Lately, as a health coach working in this space, Ive been feeling a growing frustration about how these medications are sometimes being utilizedand more importantly, how the opportunity they create is often being missed

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If a clinician elects to prescribe ipamorelin in this population, the dose should not exceed 100 mcg once daily, liver transplant candidacy should be documented, and an endocrinologist should co-manage the case