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This pathway puts members into Castlights nationally accredited Diabetes Self-Management Education & Support (DSMES) Program

However, because it activates the GLP-1 pathway along with GIP and glucagon receptors researchers believe similar brain-related effects could occur

This requires two codes: E11.22 Diabetes with CKD N18.x CKD stage N18.1N18.9 (Stage 15 or unspecified) N18.6 for ESRD Important Documentation Notes The provider must specify both diabetes and CKD or state a relationship (diabetic CKD, diabetes with CKD, etc.)

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Over time, alternatives such as Rybelsus (oral form) and Wegovy (higher-dose version specifically for weight loss) were developed