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Use fluids and hydrating foods on purpose

Found to suppress appetite, Friedman called the hormone 'leptin' after the Greek word for 'thin' (Helmholz-Munich)

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medRxiv , 2025.03.06.25323524 (2025)

Despite the advances in technology and insulin delivery over the past several decades, less than a third of adults with type 1 diabetes in England and Wales achieve a target HbA 1c of 58 mmol/mol [7.5%] [8], and only 20% of patients in the US T1D Exchange Registry achieved HbA 1c 53 mmol/mol [7.0%] [9]

This approach uses smaller amounts distributed across the week, which some patients find reduces nausea and side effects while still providing consistent appetite control