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The key is the Pairing Method in research: avoid eating carbohydrates naked. Pairing carbohydrates with fats or proteins blunts the post-meal glucose response and improves satiety

Curr Issues Mol Biol 45(4):30003015

Choose one medication and optimize the dose before considering switching

Metformin reduces the glucose your liver releases and improves insulin sensitivity, while the GLP-1 drug stimulates glucose-dependent insulin release, slows gastric emptying, and dampens appetite

It is also FDA-approved to lower the risk of major adverse cardiovascular events (cardiovascular death, heart attack, and stroke) in adults with Type 2 diabetes and heart disease