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Week 39 update on my teens glp1 journey! I rarely show my daughter on this page, mostly because someone is bound to say “why is she on these meds” but this is a reminder our motivating factor was and is the mental health benefits…which have been amazing. Showing before (2 days before starting) and now, because since we never make weight the focus, it truly caught me off guard and I think it may give another parent hope. Also it’s important to know you’re seeing 1 picture…and I’m being driven by her health data and guided with a doctors direction. Beyond the notable loss, she’s gained self esteem confidence and self assurance! I’m so proud of this kid for so many things. #glp #glp1 #glpone #glponecommunity #glp1medication #glp1journey #semaglutide #glp1forweightloss #healthandwellness #teenglp1 #childhoodobesity #mentalhealthmatters

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In this ERA Symposium video, Dr. Peter Rossing, MD, discusses the evolving landscape of chronic kidney disease (CKD) management in individuals with diabetes, focusing on the impact of GLP-1 receptor agonists (GLP-1RA) and SGLT2 inhibitors (SGLT2i). For many years, RAS blockade with ACE inhibitors or angiotensin II receptor blockers was the cornerstone of CKD treatment in diabetes. However, recent cardiovascular outcome trials have revealed that newer glucose-lowering agents, specifically SGLT2i and GLP-1RA, offer not only safe glucose reduction but also significant cardiovascular and kidney-protective benefits. Dr. Rossing highlights key findings from these trials, showing that SGLT2 inhibitors can slow CKD progression and reduce cardiovascular events in patients with type 2 diabetes and CKD. Similarly, GLP-1 receptor agonists have shown potential kidney benefits, particularly in reducing albuminuria and preserving kidney function, though the studies were not primarily designed to evaluate these effects. The discussion extends to the mechanisms behind these benefits and the potential for combining these agents with other treatments like RAS inhibitors and mineralocorticoid receptor antagonists (finerenone) for a more comprehensive approach to CKD management. With ongoing trials like FLOW offering promising data, this video provides crucial insights into the future of CKD care, including the possible applications in type 1 diabetes. Join Dr. Rossing as he explores these groundbreaking advancements and their implications for the management of CKD in patients with diabetes.

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Metformin ist ein Medikament, das zur Behandlung von Diabetes Typ 2 eingesetzt wird. In den letzten Jahren hat es jedoch auch Aufmerksamkeit als potenzielle Unterstützung bei der Gewichtsreduktion erhalten. Viele Menschen interessieren sich dafür, ob Metformin tatsächlich beim Abnehmen helfen kann und welche Risiken mit seiner Verwendung verbunden sind. In diesem Artikel werden wir den Nutzen und die Risiken von Metformin zur Gewichtsreduktion genauer betrachten.

Was ist Metformin?

Metformin, auch bekannt unter dem Markennamen Glucophage, ist ein Medikament, das zur Behandlung von Diabetes Typ 2 eingesetzt wird. Es gehört zu einer Klasse von Medikamenten, die als Biguanide bekannt sind und hilft, den Blutzuckerspiegel zu kontrollieren, indem es die Glukoseproduktion in der Leber reduziert und die Aufnahme von Glukose in die Zellen verbessert.

Metformin wird häufig in Kombination mit einer gesunden Ernährung und regelmäßiger körperlicher Aktivität verschrieben, um den Blutzuckerspiegel bei Menschen mit Diabetes zu kontrollieren. In den letzten Jahren wurde auch erforscht, ob Metformin eine Rolle bei der Gewichtsreduktion spielen kann, insbesondere bei übergewichtigen Menschen ohne Diabetes.

Es gibt Hinweise darauf, dass Metformin die Gewichtsabnahme unterstützen kann, indem es den Appetit verringert, den Stoffwechsel anregt und die Fettverbrennung erhöht. Dies hat dazu geführt, dass viele Menschen Interesse daran haben, Metformin zur Gewichtsreduktion zu verwenden, auch wenn sie keinen Diabetes haben.

Nutzen von Metformin zur Gewichtsreduktion

Studien deuten darauf hin, dass Metformin die Gewichtsabnahme bei übergewichtigen Menschen unterstützen kann, insbesondere in Verbindung mit einer gesunden Ernährung und körperlicher Aktivität. Metformin kann den Appetit verringern, den Stoffwechsel anregen und die Fettverbrennung erhöhen, was zu einem Gewichtsverlust führen kann.

Metformin kann auch bestimmte Stoffwechselprozesse im Körper beeinflussen, die eine Rolle bei der Gewichtszunahme spielen, wie zum Beispiel die Regulation des Blutzuckerspiegels und die Insulinsensitivität. Durch die Verbesserung dieser Prozesse kann Metformin dazu beitragen, das Körpergewicht zu reduzieren.

Ein weiterer Vorteil von Metformin ist, dass es gut vertragen wird und in der Regel nur milde Nebenwirkungen verursacht. Dies macht es zu einer relativ sicheren Option für Menschen, die nach Möglichkeiten suchen, ihr Gewicht zu reduzieren.

Risiken von Metformin zur Gewichtsreduktion

Trotz der potenziellen Vorteile von Metformin zur Gewichtsreduktion gibt es auch einige Risiken, die bei der Verwendung des Medikaments beachtet werden sollten. Eine mögliche Nebenwirkung von Metformin ist Magen-Darm-Beschwerden wie Übelkeit, Erbrechen und Durchfall.

Ein weiteres Risiko ist die Möglichkeit von Vitamin-B12-Mangel bei längerer Einnahme von Metformin, da das Medikament die Aufnahme von Vitamin B12 im Darm beeinträchtigen kann. Ein Mangel an Vitamin B12 kann zu einer Vielzahl von gesundheitlichen Problemen führen, daher ist es wichtig, regelmäßig den Vitamin-B12-Spiegel zu überprüfen, wenn Metformin langfristig eingenommen wird.

Metformin kann auch das Risiko von Laktatazidose erhöhen, einer seltenen, aber schwerwiegenden Komplikation, die lebensbedrohlich sein kann. Menschen mit Nierenproblemen oder anderen Erkrankungen sollten daher vorsichtig sein, wenn sie Metformin zur Gewichtsreduktion verwenden.

Zusammenfassung

Insgesamt kann Metformin bei der Gewichtsreduktion helfen, insbesondere bei übergewichtigen Menschen. Es unterstützt die Gewichtsabnahme, indem es den Appetit verringert, den Stoffwechsel anregt und die Fettverbrennung erhöht. Metformin ist eine relativ sichere Option, die in der Regel gut vertragen wird, aber es gibt auch Risiken wie Magen-Darm-Beschwerden, Vitamin-B12-Mangel und Laktatazidose, die beachtet werden sollten.

Bevor Sie Metformin zur Gewichtsreduktion verwenden, ist es wichtig, mit einem Arzt zu sprechen und alle Risiken und potenziellen Vorteile abzuwägen. Eine individuelle Beratung und Überwachung sind entscheidend, um sicherzustellen, dass Metformin für Sie geeignet ist und sicher eingenommen wird.

Vergessen Sie nicht, dass Gewichtsreduktion nur eines von vielen Gesundheitszielen sein sollte und dass eine gesunde Ernährung, regelmäßige Bewegung und ein gesunder Lebensstil die Grundlage für langfristigen Erfolg sind. Metformin kann als unterstützende Maßnahme dienen, aber es ist kein Wundermittel für Gewichtsverlust.

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Journal access here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10768757/#:~:text=More%20than%2075%25%20of%20the,unchanged%20or%20improved%20%5B28%5D.