Glomerular hyperfiltration has been identified as a key factor predisposing to kidney disease
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Therefore, while efforts undoubtedly need to be intensified towards preventing the onset of the disease and making lifestyle modifications (a fundamental aspect of the therapy for every patient with T2DM), it is clear, as indicated by the most recent guidelines [78], that the pharmacological approach should focus on timely treatment that leaves no room for therapeutic inertia and employs medications that are as effective as possible in both metabolic control and the prevention of chronic complications
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Therefore, GLP-1 receptors may be abnormally induced in cells derived from thyroid follicles through inflammation, cell proliferation or tumorigenesis