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Seek urgent medical attention if you experience: Persistent high blood glucose readings (consistently above 15 mmol/L) Blood ketones above 1.5 mmol/L (check ketones if you're unwell or if glucose is persistently above 13.9 mmol/L) Signs of hyperosmolar hyperglycaemic state (extreme thirst, frequent urination, confusion, drowsiness) Severe abdominal pain or persistent vomiting Signs of pancreatitis (severe upper abdominal pain radiating to the back) Your GP can arrange appropriate monitoring, adjust your treatment regimen, and provide ongoing support to ensure your diabetes remains well-managed whether you continue or discontinue Rybelsus

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2018 AHA/ACC Guideline for the management of adults with congenital heart disease: A report of the American college of cardiology/American heart association task force on clinical practice guidelines

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