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c/t2dglp1·submitted 3 months ago by u/neha_rahimi

someone explain metformin to me like I have not read a paper in years

Discussionbranch of 8 comments

The title is the whole question — someone explain metformin to me like I have not read a paper in years — but here is why I am asking. A1c reflects average glycaemia over roughly the preceding three months, weighted towards the most recent weeks. It cannot show variability and it lags any change you make. On…

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8 comments, started 3 months ago
u/fasting_insulin_fMOD8 points·3 months ago

Retitled — the original quoted an obesity endpoint as a glycaemic one.

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u/marit_mwangi3 points·3 months ago

That is a sensor value, not a plasma value, and the two are not interchangeable at that level of precision.

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u/hassan_ostergaard1 point·3 months ago

Push back: one sensor reading is not a data point worth acting on, especially in the first day of wear.

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u/protein_first_pnutrition6 points·3 months ago

time in range is the more informative number and it is newer

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u/neha_rahimiOP4 points·3 months ago

Brought the whole CGM export to my appointment rather than one number. Entirely different conversation.

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u/karim_ramos1 point·3 months ago

check the trial population before quoting a result at somebody

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u/sigrid_kaufmann2 points·3 months ago

Continuous monitoring shows the shape: postprandial excursions, overnight behaviour and time in range. Two people with identical A1c can have very different distributions.

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[removed]1 point·3 months ago

[removed by moderator]

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Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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