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In select cases particularly patients with: Obesity High insulin resistance Very high total daily insulin requirements endocrinologists may consider off-label use with: Continuous glucose monitoring Routine ketone monitoring Strict sick-day protocols Close specialist follow-up But this is not standard therapy

Dietary modifications can significantly reduce nausea and discomfort

Your body needs electrolytes like sodium, potassium, and magnesium to keep circulation working efficiently (cold hands and feet are often the first sign somethings off there)

has recommended three good meals a day and behavioral changes rather than weight-loss medication

GLP-1 is a incretion hormone, which has been shown to stimulate secretion of insulin in the presence of elevated blood glucose concentrations, but not during periods of low blood glucose concentrations (hypoglycemia)