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DPP-4i is considered a safe ADM suitable for the treatment of patients with T2DM with DKD, but no significant renal improvement has been observed

Right now, the evidence base is too small to confirm safety, which is why labeling and expert guidance remain cautious

Protein-first food options (easy categories to rotate) Morning options (light but structured) Midday meal options (most substantial meal) Afternoon options (support without a full meal) Evening options (lighter close) Simple shopping focus for weeks 512 Protein shakes Meals & entres Soups & bouillons Protein bars Puddings & gelatins Electrolyte hydration options Tips for staying steady in weeks 512 Keep a short list of reliable meals you can repeat Use portion-controlled options on busy days Eat slowly and stop at comfortable fullness Keep hydration steady between meals Focus on consistency over perfection These are supportive habits, not fixes

Ensure you are rotating injection sites appropriately (abdomen, thigh, or upper arm) to prevent localised reactions that might contribute to discomfort