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If any medication adjustment is recommended, patients should discuss with their endocrinologist or primary care physician: Whether temporary adjustments to other diabetes medications are needed How frequently to monitor blood glucose during this period What glucose levels should prompt contact with the medical team Bowel preparation instructions should be reviewed carefully

Renal function should be monitored as part of routine diabetes care, particularly in patients with existing kidney disease or those experiencing significant gastrointestinal side effects that could lead to dehydration

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