H2 blockers, antacids, Metformin, and related diabetes drugs, or other medications, or infections such as h-pylori that can interfere with B12 absorption
Conventional neuropathy treatments fall into two categories, and neither addresses the underlying nerve damage
However, the potentially large target patient population, as well as the increased utilization and high drug costs, are a growing concern for many plan sponsors
The mechanism of action involves several physiological processes: Enhanced insulin secretion : They stimulate glucose-dependent insulin release from pancreatic beta cells, which helps lower blood glucose levels without causing hypoglycaemia when glucose levels are normal Suppressed glucagon secretion : They reduce inappropriate glucagon release from pancreatic alpha cells, further improving glycaemic control Delayed gastric emptying : They slow the rate at which food leaves the stomach, promoting satiety and reducing postprandial glucose excursions