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Red flags that require medical evaluation A sustained resting heart rate above 100 beats per minute (tachycardia) at rest is never normal and should prompt medical evaluation regardless of the cause
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However, in the AWARD 7 trial, a dedicated 52-week trial of dulaglutide in patients with diabetic kidney disease, stage 3-4, the decline with time was significantly reduced compared with insulin glargine [29]
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