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Neurogastroenterol Motil 2019

Monitoring is essential, especially in the first three months of combination therapy

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For each of the known and possible risk factors for metformin-associated lactic acidosis, recommendations to reduce the risk of and manage metformin-associated lactic acidosis are provided below: Renal Impairment The postmarketing metformin-associated lactic acidosis cases primarily occurred in patients with significant renal impairment

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Blood donation centres focus on two things: Donor safety Recipient safety People with diabetes are usually eligible to donate blood if: Blood sugar levels are well controlled They feel physically well on the day of donation There are no active infections or acute illnesses They meet age, weight, and haemoglobin requirements The most important factor is good diabetes management