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There are important health factors and special situations to consider before starting treatment

Contact your GP or diabetes specialist nurse within 24 hours if you notice: New or worsening leg swelling, pain, or discolouration Unexplained persistent breathlessness during normal activities Unusual bruising or bleeding Concerns about your overall cardiovascular risk If you're unsure about the urgency of your symptoms, NHS 111 can provide guidance on appropriate next steps

Illness, missed meals, changes in physical activity, alcohol use, pregnancy, surgery, kidney problems, and liver problems can all alter insulin needs

What Causes Spinal Compression

Food and Drug Administration (2023) Daily briefing: How obesity drugs like Ozempic create a full feeling, Nature Briefing (2024) Clinical insight on semaglutide for chronic weight management in adults: Patient selection and special considerations, Drug Design, Development and Therapy (2022) Metformin for pregnancy and beyond: the pros and cons, Diabetic Medicine (2022) Combination of alcohol and glucose consumption as a risk to induce reactive hypoglycemia, Journal of Diabetes Investigation (2021) Glucophage highlights of prescribing information, U.S