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It is also important to contact your healthcare provider if heartburn symptoms significantly impact quality of life or medication adherence

In those with a history of severe hypoglycemia and/or hypoglycemia unawareness, however, it may be prudent to reduce the basal insulin dose to err on the side of safety regardless of their current A1C

This pattern aligns with decades of diabetes research demonstrating that while rapid glycemic improvement carries short-term risks for retinopathy progression, sustained long-term glucose control reduces the incidence and severity of diabetic eye disease

Ashley Koff, RD 00:05:18 Yeah