Increase frequency of glucose monitoring with changes to: insulin dosage, concomitant drugs, meal pattern, physical activity, and in patients with renal impairment or hepatic impairment or hypoglycemia unawareness
The decision to take this prescription should not be taken lightly
Levtchenko EN, van Dael CM, de Graaf-Hess AC, Wilmer MJ, van den Heuvel LP, Monnens LA, Blom HJ (2006) Strict cysteamine dose regimen is required to prevent nocturnal cystine accumulation in cystinosis
thus a deficiency may lead to disruption of DNA synthesis/cell metabolism and have serious clinical consequences
Because of decreased size of meals, you do need to counsel patients on the types of foods that theyre eating, particularly with increasing protein intake
GLP-1