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N Engl J Med 393(1):2636 American Diabetes Association (2022) Standards of Medical Care in Diabetes-2022 abridged for primary care providers

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Glucomannan: This viscous fiber helps reduce the absorption of carbohydrates into the bloodstream, helps reduce your appetite, and reduces spikes in insulin levels

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Talk to your doctor right away if you: Feel very sick or have severe side effects Lose weight very quickly Have stomach pain that wont go away Feel dizzy or confused Notice changes in how you urinate Feel more tired than usual Have unusual symptoms Your doctor might order extra tests if they change your dose or add new medicines