Recurrent hypoglycaemia remains a significant barrier to optimal glycaemic control in patients with type 2 diabetes. Beyond its immediate risks, repeated episodes can lead to hypoglycaemia unawareness, reduced treatment adherence, increased healthcare utilization, and a substantial impact on quality of life.

In this session, Dr Nikhil Aggarwal will discuss a practical, systematic approach to evaluating and managing recurrent hypoglycaemia in type 2 diabetes. The discussion will cover common causes, risk stratification, medication-related factors, patient education, and strategies for individualizing therapy. Through real-world clinical scenarios, clinicians will gain insights into balancing glycaemic targets with patient safety and improving long-term diabetes outcomes.

Approach to Recurrent Hypoglycaemia in Type 2 Diabetes?

MBBS, MD (KGMU) | General Physician & Diabetologist | Former SR at MAMC, New Delhi | Faculty at Army College & Military Hospital, New Delhi | Doctor, Educator, Author, Mentor

GLP-1–based therapies have transformed the management of obesity and type 2 diabetes, but achieving the initial response is only part of the journey. What happens when patients reach their treatment goals, require dose adjustments, discontinue therapy, or begin to regain weight? Long-term follow-up and maintenance are increasingly becoming central to successful metabolic care.

This session will explore the post-GLP-1 journey, focusing on how clinicians should monitor patients, sustain treatment benefits, address weight regain, and individualize ongoing therapy. The discussion will cover treatment continuation versus discontinuation, maintenance strategies, metabolic monitoring, lifestyle interventions, and practical approaches to managing patients after GLP-1 therapy. Through clinical scenarios, the session will address the key question: once the weight comes off, how do we help patients keep it off?

Dr. Nikhil Aggarwal

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