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4 The 2026 American Diabetes Association Standards of Care note the challenges of maintaining glycemic control in this population and support consideration of glucagon-like peptide 1 receptor agonists in appropriate patients

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Drugs that may decrease the blood glucose lowering effect: atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones (7)

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Commonly circulated experimental injectable protocols often use approximately 12 mg per day