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If you have those kinds of symptoms, it could just mean that you aren't used to eating high-fiber foods

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Combination-therapy with bedtime nph insulin and sulphonylureas gives similar glycaemic control but lower weight gain than insulin twice daily in patients with type 2 diabetes

60 Risk factors for experiencing DKA with SGLT2-I are not fully understood but may include type 1 diabetes, treatment with insulin, volume depletion, alcohol use, illness, and those in postoperative status

Long-term use should be supervised by a doctor, since persistent nausea usually signals an underlying condition that needs its own treatment