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okay which medication at this time we feel about it is a little bit like that isnamp;#39;t it so pretty one of the communist things you like my practice nurses do most of my diabetes they see the patients annual review and then theyamp;#39;ll come in perhaps at the end of a clinic and Iamp;#39;ve got five minutes before Iamp;#39;ve got to go and do my house call and I start my next routine surgery got this patient hp1 sees now this they want this this and this what do wanna do next and youamp;#39;ve got to make a decision and go to get on board with it really quickly so itamp;#39;s challenging you know thereamp;#39;s no doubt about it itamp;#39;s a really difficult area and thereamp;#39;s loads of things you might take into account when youamp;#39;re trying to decide which medication to use when how old is the patient weamp;#39;ve talked about that how long have they had type 2 diabetes for whatamp;#39;s their weight so what effect do you want Matt medication to have on the