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Both the 2016 consensus statement of the American Association of Clinical Endocrinologists and American College of Endocrinology (AACE/ACE) on management of type 2 diabetes and the 2016 American Diabetes Association (ADA) standards recommend adding on GLP-1 RAs to patients not meeting treatment goals with basal insulin
The occurrence of konzo outbreaks has been consistently associated with undernourished populations that have a chronic dietary reliance on cyanogenic cassava as their main source of food 1
[13] Important limitations in the current evidence base include: Most studies measure acute GLP-1 responses to single meals rather than long-term effects Sample sizes are often small, and study populations vary widely The magnitude of GLP-1 increase from dietary interventions is substantially smaller than that achieved with pharmaceutical GLP-1 agonists Individual responses vary considerably based on genetics, baseline metabolic health, and gut microbiome composition From a safety perspective , natural approaches to supporting GLP-1 production through whole foods and lifestyle modifications are generally considered safe for most individuals
They then isolated the virus from the hearts of the mice from both groups and found that the coxsackievirus from the deficient animals hearts had become mostly virulent3
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