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Ko, N., Knauf, F., Jiang, Z., Markovich, D
After 15-20 punctures, the stopper may not reseal properly, compromising the sterile environment
However, for patients with very high blood sugar at diagnosis (HbA1c above 10 percent) or symptoms of hyperglycemia, insulin may be started right away, bypassing the usual stepwise approach
Your diabetes team will balance the benefits of glucose lowering against this consideration, potentially adjusting medication doses more conservatively if you have advanced eye disease
