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Patients should be counselled to contact their GP or diabetes specialist nurse if they experience: Severe or persistent vomiting : If you cannot keep down fluids for more than 24 hours, this may lead to dehydration and electrolyte disturbances requiring medical intervention

The mechanism involves enhanced insulin secretion from pancreatic -cells only when glucose levels are elevated

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This begins with a thorough conversation with your GP, moves through careful symptom tracking, and may include structured blood testing to ensure you are seeing the "bigger picture" of your metabolic health, starting with our thyroid blood tests collection