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The findings support the urgent need for sustained maintenance strategies, such as prolonged or stepped-down pharmacotherapy, integration of nutritional and physical activity programs, and individualized patient follow-up to mitigate relapse
Based on these principles, regardless of HbA 1c level or the presence of other glucose-lowering agents, all individuals with diabetes and established or subclinical CVD should be prescribed an agent with proven cardiovascular benefit from the GLP-1 RA class or SGLT2i class [5, 6]
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