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doi: 10.4239/wjd.v9.i8.138

Patients with a history of diabetic retinopathy should be monitored for progression of diabetic retinopathy Hypoglycemia: Patients receiving RYBELSUS in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia

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Insulin adjustment : The MHRA has warned about the risk of diabetic ketoacidosis (DKA) when insulin is reduced or stopped when starting a GLP-1 receptor agonist

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