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While these episodes typically appear out of the blue, exercise, stress, or certain foods and drugs (such as caffeine or other stimulants) sometimes trigger an episode

174 Recently, metformin has been hypothesized to be used as an adjunct treatment in type 1 diabetes to limit the insulin dose and to prevent the long-term difficulties of diabetes including weight gain, atherosclerotic progression, as well as elevated cholesterol levels of LDL

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It means you need to monitor blood glucose more carefully and be aware of hypoglycemia symptoms, particularly shakiness, sweating, confusion, and irritability