Discard any open pen that has exceeded the 28-day window, even if medication remains inside
No pressure to commit to long-term plans before having a consultation: You should never agree to a long-term plan before you have had a consultation with a provider
Tracking non-scale victoriesimproved energy, reduced cravings, better blood sugar stability, or looser clothingoften precedes the scale moving
Cardiovasc Diabetol 17(1):5 Denic A, Mathew J, Lerman LO, Lieske JC, Larson JJ, Alexander MP et al (2017) Single-nephron glomerular filtration rate in healthy adults
It prompts the pancreas to release insulin and signals the liver to reduce glucose production, helping you feel full, slow digestion, lower blood sugar, decrease appetite, and support weight loss
Immediate management of hypoglycaemia follows the "Rule of 15" (NHS and Diabetes UK guidance): Test blood glucose if possible to confirm hypoglycaemia (below 4.0 mmol/L) Consume 1520 grams of fast-acting carbohydrate , such as: 150200 ml of fruit juice or non-diet fizzy drink 45 glucose tablets 56 sweets (such as jelly babies) Wait 15 minutes and retest blood glucose Repeat treatment if blood glucose remains below 4.0 mmol/L Follow with a longer-acting carbohydrate (such as a sandwich or biscuits) once blood glucose has recovered, especially if the next meal is not due soon Patients taking GLP-1 receptor agonists in combination with sulphonylureas or insulin should be educated about hypoglycaemia management and must carry glucose tablets or a fast-acting carbohydrate source at all times
