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Excessive dizziness, severe nausea, rapid heartbeat, or feeling unwell the next day at doses you previously tolerated are red flags

N Engl J Med 2018

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Both require dose escalation, meaning you start at a low dose and increase gradually

Elderly Patients: Hypoglycemia and weight gain are common problems in elderly diabetics receiving insulin or sulfonylureas, especially when the class of medications powerfully affects glucose
