Should I follow a modified diet (such as 24-hour clear liquid diet) before surgery
The clinician should understand when the weight gain began, what strategies have been attempted, how much weight was lost, how long it remained off, and what contributed to regain
In late 2023, researchers published the results of the Phase III SELECT trial that investigated the use of semaglutide in patients with overweight and a previous history of cardiovascular disease but no diagnosis of diabetes
Clinical signs: Microaneurysms are visible on examination Possible small retinal hemorrhages No vision symptoms are typically present Management approach: Continue aggressive diabetes management Increase screening frequency to every 6-12 months Monitor blood pressure and cholesterol Consider more frequent monitoring during pregnancy Stage 3: Moderate Nonproliferative Diabetic Retinopathy Vascular damage becomes more extensive, with increased risk of progression
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In such cases, pancreatic enzyme replacement therapy (PERT) may be prescribed under medical supervision, using licensed medicinal products such as pancreatin (e.g., Creon)