doi: 10.1007/s00404-020-05796-9 8 Kimber-TrojnarPilszykANiebrzydowskaMPilszykZRuszaaMLeszczyska-GorzelakB
In the LEADER (liraglutide) and SUSTAIN-6 (semaglutide) trials [2, 3], the GLP-1RAs rapidly and greatly decreased HbA 1c levels compared to placebo, which may have partly contributed to the increased incidence of diabetic retinopathy complications observed in SUSTAIN-6 (HR: 1.76 [95% CI 1.11, 2.78])
Whilst missing a single dose is unlikely to cause immediate harm, it interrupts the steady drug levels needed for optimal blood glucose control
Future studies will therefore focus on expanding mechanistic validation, conducting extended safety assessments, and optimizing formulation and delivery strategies to support further translational development
These are the cells that release histamine when they encounter an irritant
Another option is a standard 12V car cooler or mini fridge