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Seek immediate emergency care (call 911 or go to the emergency department) if you experience: Severe hypoglycemia symptoms : Confusion, difficulty speaking, loss of consciousness, seizures, or inability to self-treat low blood glucose Persistent vomiting : Inability to keep down fluids for more than 6-8 hours, leading to dehydration risk Signs of severe dehydration : Minimal urination, extreme thirst, rapid heartbeat, severe dizziness, or fainting Chest pain or severe palpitations : Particularly if accompanied by shortness of breath or radiating pain Signs of pancreatitis : Severe, persistent abdominal pain (often radiating to the back), with or without vomiting

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