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Still, without firm evidence guiding logistical implementation of GLP-1 RA in patients with near-controlled blood glucose and using insulin-based therapy, background therapy adjustments should be made using shared-decision making on a case-by-case basis while considering factors such as fasting blood glucose, current A1C, hypoglycemia risk, specific GLP-1 RA therapy, and GLP-1 RA therapy titration schedule

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