Gut bacteria break down fibre into short-chain fatty acids, which stimulate the release of the GLP-1 hormone
But since most of us dont get nearly enough sun, its important to obtain vitamin D from your diet and through supplementation
Gonzlez, Universidad Autnoma de Nuevo Len, Monterrey, 64460, Mxico 11 Ted Rogers Center for Heart Research, Canada 12 Service of Endocrinology, Diabetes, Nutrition and Patient Therapeutic Education, Geneva University Hospitals, Geneva, Switzerland 13 Newbridge Surgery, Bath, UK 14 Sydney School of Public Health, The University of Sydney, Sydney, Australia 15 Centre for Kidney Research, The Childrens Hospital at Westmead, Sydney, Australia 16 Renal Division, Ghent University Hospital, Belgium 17 University of California Davis, USA 18 Department of Endocrinology, Clinic of Medicine, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway 19 K kumc gmail.com Abstract Clinical question What are the benefits and harms of sodium-glucose cotransporter 2 (SGLT-2) inhibitors and glucagon-like peptide 1 (GLP-1) receptor agonists when added to usual care (lifestyle interventions and/or other diabetes drugs) in adults with type 2 diabetes at different risk for cardiovascular and kidney outcomes
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Hydration Ask about: Persistent vomiting or diarrhea Dizziness or orthostatic symptoms Reduced fluid intake Dark or infrequent urine Fatigue that may reflect inadequate intake Difficulty maintaining hydration during exercise or hot weather Hydration concerns matter especially in patients with kidney disease, cardiovascular disease, diuretic use, or significant gastrointestinal adverse effects
