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Swelling of the Face, Lips, or Tongue: A classic sign of a severe allergic reaction

74 Screening and monitoring of vitamin B12 status are not routinely performed in those being administered metformin and the authors propose that it should, particularly since deficiencies are frequently asymptomatic and neuropathy is frequently irreversible

B-12 supports red blood cell formation, neurological function, and DNA synthesis, making it a foundational treatment for fatigue, cognitive performance, and metabolic health

Educate the patient and their family/caregivers about sick day rules for managing diabetes during illness, emphasizing the importance of never eliminating insulin doses when experiencing nausea or vomiting
