Diabetic retinopathy: Rapid improvement in blood glucose control has been associated with early worsening of diabetic retinopathy in some patients
However, severe persistent vomiting (more than 3 episodes per day for more than 2 days), signs of pancreatitis (severe abdominal pain radiating to the back), or allergic reactions (hives, difficulty breathing, facial swelling) warrant immediate protocol cessation and medical attention
The study was small and had no comparison group, but the fact that relief lasted many months is noteworthy
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