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options for the treatment of type 2 diabetes and I would like to live in a system in which

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innovation is encouraged, not discouraged even passively. While I obviously support the

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objectives, fully support the objectives, of assuring safety of all drugs including for

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diabetes, I strongly encourage FDA and its advisors not to put excessive barriers in the

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path of development that will threaten innovation and investment. Please consider this as

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new drugs come before for you.

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and underscore that this lack of good diabetes management is an economic issue. It’s an

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economic issue and it’s a moral issue. We need new drugs so that people can get earlier

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and more aggressive treatment that they will take so we can work to prevent and/or delay

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diabetes complications. Of course even if people achieve better diabetes management we

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know that diabetes is a progressive disease at present. So we would also, if we were

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making a list of what patients wanted, say that we would like disease-modifying drugs.

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This seems unlikely to happen unless we are in a system that encourages innovation.

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That’s what the US is all about and I would hate as a patient to see that stifled.

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leading cause of nothing, as Dr. Bill Polonsky says of the Behavioural Diabetes Institute.

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Although we hear a lot these days about prevention of diabetes, I would urge the

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committee to consider the delay and prevention of complications by considering new

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alternatives that will help patients, particularly early in the course of the disease. For the

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patients and families of the 24 million adults with diabetes in the US and for 57 million

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In closing, my two central messages are: we continue to need alternate

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Thank you very much for your time. Well-controlled diabetes is the

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inexpensive therapy alternatives for a patient so they can do more to help themselves

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so that we can do more to help ourselves.

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In case I wasn’t clear, let me tie this to the most important issue of our day

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