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Hypoglycemia or low blood glucose is the most common side effect of the sulfonylurea agents.
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When requesting VA medical examinations, send the claims file to the examiner, specify that the examiner is to conduct a general medical examination and any required specialty examinations, and include the following italicized language with the request.
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Traditional Claims: The date the claim resulting in award was filed or date entitlement arose, whichever is later, but in no event prior to the effective date or the regulatory resumption of service connection.
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Obviously, if a low blood sugar occurs one or two hours after a dose or bolus, more carbohydrate will be needed to raise the reading back to normal than if the low happens three or four hours after the bolus.
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Where there are the educational resources, low-dose MDI is secure and will avoid the need to change insulin preparations.
It can also be prescribed in its generic form, repaglindine.
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It is usually suggested that because of the different test protocols and reference ranges in use, you use the same lab to compare C-peptide values, when trying to determine if your C-peptide levels are dropping.
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OTOH, the sulfonylurea drugs like glimipiride, glipizide etc DO will run into the problem of the receptors burning out after they are taken for a while.
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All patients treated with metformin should have renal function monitored regularly (at least annually or more frequently if necessary) and be advised of the significance of nonspecific symptoms such as malaise, myalgias, respiratory distress, increasing somnolence, and gastrointestinal disturbances that arise after stabilization of metformin dosage.
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The only reason metformin appears to become ineffective is that people who take it are told by their doctors to keep their blood sugars at levels high enough to slowly kill their remaining beta cells.
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Increase dosage gradually, if needed, up to maximum of 45 mg daily based on HbA 1c concentrations.
To put it differently generics have identical active ingredients and their pharmacological effects are the same, as those of their brand-name equivalents.
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However, in diabetic patients with ESRD, elevated blood urea nitrogen causes formation of carbamylated hemoglobin, which is indistinguishable from glycosylated hemoglobin by electrical-charge-based assays and can cause the hemoglobin A 1c measurement to be falsely elevated.
You will also be asked about your family history.
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PLEASE READ THIS ARTICLE CAREFULLY BEFORE COMMENTING OR EMAILING ME QUESTIONS ABOUT YOUR C-PEPTIDE TEST!
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In 1989, the United States District Court for the Northern District of California (Court) ruled that VA's regulation was invalid because the causation standard that it used was inconsistent with the intent of Congress.
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