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Care by an interprofessional diabetes health-care team composed of a diabetes nurse educator, dietitian, obstetrician and endocrinologist/internist with expertise in diabetes, both prior to conception and during pregnancy, has been shown to minimize maternal and fetal risks in women with pre-existing type 1 and type 2 diabetes

Maintenance then reduces to 2mg once every 7-14 days

The label goes further: tolerance to the appetite effect usually develops within a few weeks, and when that happens the instruction is to stop the medication, not increase the dose

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Because they appear to slow the emptying of the stomach, there is a risk that a patient might accidentally draw food into the airway passage while under anesthesia, Robles said