It does not cover all possible uses, actions, precautions, side effects, or interactions of the medications shown, nor is the information intended as medical advice or diagnosis for individual health problems or for making an evaluation as to the risks and benefits of using a particular medication
If ketones are part of your care plan, the pages on Ketones And Diabetes and Keto Diet And Diabetes give useful background on why sick days, fasting, or carbohydrate restriction can change risk
But this is a clinical decision made with a provider tracking your weight and appetite, not a self-directed adjustment
If your A1C remains above target despite optimal dosing, trying the alternative medication may provide better results
When to Call for Help Right Away Call emergency services (such as 911 in the U.S.) if any of these happen: Chest pain that feels crushing or very heavy Pain that lasts more than 5 to 10 minutes Pain with shortness of breath, fainting, or severe sweating Chest pain after physical activity or stress Chest pain in someone with diabetes, especially if they also feel tired or weak Quick action saves lives