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Hayton, D.K
Based on data from RCTs in T1D and those with patients with T2D, initiation of a GLP-1RA should be followed by a decrease of total insulin dose to reduce events of hypoglycemia (71)
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Studies have shown that N-terminal modifications of Incretins - specifically changing the second amino acid in the GLP-1 and GIP molecules from Ala to Gly or other amino acid can reduce the rate of DPP-4 inactivation of these peptides without impacting their ability to bind to their cognate receptors (Green and Flatt, 2007)
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