The actigraph (Individual Monitoring Systems, Inc., Baltimore, MD) is a small watch-like device weighing 10 g that records movement accelerations
In some of those cases, symptoms improved after stopping the medication
For patients whose constipation proves resistant to these measures, medical review is essential
Contact your GP or diabetes specialist nurse if you experience: Severe, unrelenting nausea or vomiting lasting more than 24-48 hours, particularly if preventing adequate fluid or medication intake Persistent diarrhoea with signs of dehydration (dark urine, dizziness, reduced urination, dry mouth) Severe abdominal pain , especially if constant, worsening, or accompanied by fever Blood in vomit or stools , which requires urgent assessment Signs of dehydration require prompt intervention, particularly in vulnerable patients such as older adults or those with kidney disease
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