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The most significant factor remains suboptimal glycaemic controlpatients with HbA1c levels above target are at substantially higher risk
However, jumping to a high dose too quickly can lead to unwanted side effects like nausea, vomiting, and digestive discomfort
Sin embargo, el riesgo de tener niveles bajos de glucosa en la sangre solo suele aumentar si se toma al mismo tiempo otro medicamento que reduzca el nivel de glucosa en la sangre, como las sulfonilureas o la insulina
Their effectiveness depends not just on affordability, but on sustained, guided use as part of a broader strategy that includes diet, lifestyle and regular medical care.
[3] Treatment is by vitamin B 12 supplementation, either by mouth or by injection
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