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In addition, GLP-1 RAs are particularly effective in reducing HbA1c, which is especially relevant as HbA1c levels 6.5% have been shown to be associated with increased incidence of microvascular complications [69] while it is challenging to achieve HbA1c levels 30 ml/min/1.73 m 2 [2], with a GLP-1 RA as the preferred agent if additional therapy is needed for glycemic control