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Slower clearance from reduced kidney function requires dose adjustments and closer monitoring, but it's not inherently dangerous if your provider accounts for it
Common blood sugar patterns during illness: Elevated morning readings despite eating less Increased variability throughout the day Delayed response to medications Potential for both highs and lows Monitoring During Illness If you have diabetes, increase your blood sugar monitoring during illness: Check at least 4 times daily (morning, before meals, bedtime) Monitor more frequently if readings are above 250 mg/dL or below 70 mg/dL Test for ketones if blood sugar exceeds 250 mg/dL Keep a written log of readings to share with your provider When to Contact Your Doctor For people with diabetes using GLP-1 medications, contact your healthcare provider if: Blood sugar remains above 250 mg/dL despite medication You have ketones in your urine Youre unable to eat or drink for more than 12 hours Youre experiencing severe symptoms Youre unsure about medication dosing during illness Your provider may temporarily adjust your diabetes medication regimen during illness to maintain safe blood sugar levels
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