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Gupta I, Gupta V, Parihar A, et al
What helps: Screen with the 2-item Diabetes Distress Scale (DDS2): "How often do you feel overwhelmed by your diabetes regimen?" Simplify regimensonce-daily basal insulin or GLP-1 RAs reduce decision fatigue Lower the bar temporarilyidentify "minimum acceptable care," not ideal care Refer to diabetes psychologythis has a biological treatment target The bottom line: Diabetes Burnout is real, common, and measurable in the HPA axis, immune system, and metabolic pathways
So How Does Ipamorelin Work
It's not just about losing weight, but about maintaining health and function throughout the process
It suggests that if a patient restarts these medications after a lapse, they should return to a starter dose and titrate back to their original dose
