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Multi-specialty hospital
Clinic/ nursing home
Government hospital/ medical college
Mixed
<10%
10%-<20%
20%-<50%
>50%
Dietary habits
Physical activity levels
Medication adherence
Socioeconomic status
Metformin
Sulfonylureas
DPP-4 inhibitors
SGLT2 inhibitors
At every visit
Once a year
Only when medication adjustments are needed
Rarely
Lack of patient education
Financial constraints
Cultural beliefs and practices
Limited access to healthcare facilities
Cardiovascular disease
Diabetic retinopathy
Diabetic nephropathy
Diabetic neuropathy
6 months
12 months
24 months
>24 months
<2 years
2-5 years
5-10 years
>10 years
Frequently
Occasionally
Never
Time management
Remembering to take doses
Adjusting diet and lifestyle
Social stigma
Any Other
10-<20%
20%-30%
>30%
Weekly
Every 15 days
Monthly
Every 3 monthly
Patient adherence to the new regimen
Managing side effects
Adjusting dosages
Monitoring blood glucose levels
DPP4i + Metformin
SU + Metformin
SGLT2 inhibitors+ Metformin
Others
Patient’s glycemic control
Obesity/weight loss benefit
Cardiovascular risk reduction
Patient’s preference or compliance
Risk of side effects (e.g., nausea, GI disturbances)
Insurance coverage or cost considerations
2 years
5 years
7 years
10 years
Nausea or vomiting
Diarrhea or constipation
Decreased appetite
Hypoglycemia
No significant side effects
Very confident, based on the available clinical data
Somewhat confident, but I am cautious with long-term use
Not confident, as I have concerns about potential long-term side effects
I have not used these drugs long-term enough to assess safety
GLP-1 receptor agonists (e.g., Semaglutide, Liraglutide) + Metformin
GLP-1 receptor agonists + SGLT2 inhibitors
GLP-1 receptor agonists + Insulin
GLP-1 receptor agonists + DPP-4 inhibitors
I do not use GLP-1 receptor agonists for obesity management
Always, as GLP-1 receptor agonists have cardiovascular benefits
Often, but I prefer adding SGLT2 inhibitors for additional cardiovascular protection
Sometimes, depending on the patient's tolerance and comorbidities
Rarely, I prioritize other therapies like statins and antihypertensives
I do not consider GLP-1 receptor agonists in these patients
GLP-1 receptor agonists + Metformin
GLP-1 receptor agonists + Thiazolidinediones (TZDs)
I avoid GLP-1 receptor agonists in MASLD patients
I routinely prescribe GLP-1 receptor agonists along with SGLT2 inhibitors due to their heart failure benefits
I prescribe GLP-1 receptor agonists, but with caution due to potential side effects
I prefer GDMT (ACEi/ARB/ARNI + B Blocker + MRA + SGLT2i)and avoid GLP-1 receptor agonists
I avoid GLP-1 receptor agonists in heart failure patients entirely
I do not have a specific approach for heart failure patients with diabetes
Frequently, as GLP-1 receptor agonists offer renal protection benefits
Occasionally, depending on the stage of CKD and kidney function
Rarely, I prefer to use SGLT2 inhibitors for CKD management
I avoid GLP-1 receptor agonists in patients with advanced CKD
I do not use GLP-1 receptor agonists in CKD patients
Almost always
Often
Sometimes
Type 1 diabetes patients with frequent hypoglycemia
Patients with well-controlled type 2 diabetes
Pregnant women without gestational diabetes
Type 2 diabetes patients on oral medications only
CGM provides glucose readings every few minutes
CGM does not require calibration
CGM requires no patient interaction
CGM is less expensive than fingerstick testing
CGM is more accurate than laboratory blood tests
CGM devices require frequent fingerstick calibration
CGM provides instant feedback for insulin dose adjustments
CGM is less expensive than traditional glucose meters
Limited availability of facilities
High cost of the procedure and post-transplant medications
Risk of immune rejection and the need for lifelong immunosuppression
Inadequate patient awareness about the transplant process