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Firstly, cardiovascular events are a major cause of morbidity and mortality in liver transplanted individuals ( Finally, calcineurin inhibitors can cause or worsen renal dysfunction due to their nephrotoxic effect, limiting the use of several non-insulin agents for DM treatment ( For long-term DM management, insulin it is not indicated as first line therapy, due to its known negative effects on weight gain in people at risk for MS ( Metformin its currently considered the first-line therapy in people with type 2 DM and without CV complications ( The efficacy, safety and CV protection of GLP1RAs have been widely demonstrated in people with type 2 DM and obesity ( A potential relationship between GLP1RAs and acute pancreatitis in subjects with diabetes was suggested, for the first time, in 2008 by the US Food and Drug Administration (FDA), referring to 30 case reports (35)
It also helps regulate blood sugar levels by enhancing insulin secretion when needed and reducing the release of glucagon, a hormone that raises blood sugar
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