The standard of care for type 2 diabetes in the UK follows a structured approach beginning with lifestyle modification, followed by metformin as first-line pharmacotherapy, with additional agents added according to individualised treatment algorithms as outlined in NICE guideline NG28
Increases satiety signals to the brain and reduces appetite, making it easier to manage food intake naturally (1,3)
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You cannot prevent the metabolic changes that cause cold sensitivity, but you can manage the discomfort through layering, staying hydrated, eating adequate protein, and maintaining physical activity to preserve muscle heat production