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Therefore, while efforts undoubtedly need to be intensified towards preventing the onset of the disease and making lifestyle modifications (a fundamental aspect of the therapy for every patient with T2DM), it is clear, as indicated by the most recent guidelines [78], that the pharmacological approach should focus on timely treatment that leaves no room for therapeutic inertia and employs medications that are as effective as possible in both metabolic control and the prevention of chronic complications
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Randomized analyses suggest that each class retains benefit when used with the other, while real-world studies indicate potentially lower cardiovascular, heart-failure and kidney-event rates with combination therapy
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