The effect of intensive diabetes therapy on the development and progression of neuropathy
In mitochondrial dysfunction, increased ROS levels further inhibit GPX4 activity, accelerate PUFA oxidation and ultimately induce ferroptosis (25-27)
These pathways are connected to blood vessel formation, tissue oxygenation, and cellular repair
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Compared with other CVOTs involving GLP-1RA, participants in the AMPLITUDE-O trial had the longest duration of diabetes (15 years), lowest mean eGFR (72 ml/min/1.73 m 2 ) with a higher percentage (32%) of people with renal disease (eGFR 2560 mL/min), highest glycosilated hemoglobin (8.9%), and highest percentage of insulin use (62%) or sodiumglucose transporter-2 inhibitors (SGLT-2i) (15%) at baseline, thus identifying a more fragile population