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The management strategies to achieve this aim broadly include: Effectively delivering exogenous insulin to maintain glucose levels as close to the individuals target range as is safely possible to prevent the development and progression of diabetes complications while: Minimising episodes of hypoglycaemia, of all levels, including Level 1 ( 0.9) between HbA 1c and mean blood glucose levels during the preceding 3 months when glucose levels are stable [66]

Actual fat loss follows from weeks three or four onwards at the starter dose, accelerating as the dose increases

The surgical team and the prescribing physician should communicate directly to develop a safe perioperative plan