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Metformin and insulin were the established treatments for T2D in youth until the recent approval by the Food and Drug Administration (FDA) of two SGLT2 inhibitors (dapagliflozin and empagliflozin) for children and adolescents above 10 years of age with T2D, for use in combination with diet and exercise

It works as a glucagon-like peptide-1 (GLP-1) receptor agonist, which helps regulate blood sugar levels by enhancing insulin secretion, slowing gastric emptying, and reducing appetite

It provides the strongest satiety signal of any macronutrient, and it supports muscle preservation during the transition

It is to make smaller meals more complete, so each one still supports muscle, digestion, hydration, and nutrient status