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For people requiring more intensive glucose control , triple therapy (metformin plus two other agents from different classes, but not combining DPP-4 inhibitors with GLP-1 receptor agonists) or insulin therapy may be necessary

Healthy fats and oily fish can improve satiety and metabolic health

Additionally, dietary modifications are also helpful in managing these problems

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Costs vary but typically range from $200 to $600 monthly even with Medicare coverage

This effect likely relates to delayed gastric emptying, as high-fat foods naturally slow digestion further, potentially causing discomfort or early satiety