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should be followed with the following key considerations: (1) Distinction from Pre-existing Diabetes: Pre-transplant diabetes screening practices vary across centers, with many relying solely on FPG and HbA1c, both of which are less sensitive than OGTT in CKD/ESRD patients ( (2) Transient Post-Transplant Hyperglycemia: Hyperglycemia is common immediately following transplantation due to surgical stress, high-dose corticosteroids, and other immunosuppressive agents

Food & Drug Administration (FDA) expressed safety concerns with compounded GLP-1 drugs

A single high or low reading may not reflect the full pattern, so clinicians usually review several days of data when possible

Researchers at these dose levels should have an antiemetic protocol ready before escalating

Mukhopadhyay et al , 2008