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If you have a blood glucose meter: Check fasting glucose levels regularly (frequency as advised by your healthcare team) Monitor post-meal glucose if you notice symptoms of hyperglycaemia Keep a record to share with your GP or diabetes nurse Contact your GP if fasting glucose consistently exceeds 7 mmol/L or random glucose exceeds 11 mmol/L, though your individual targets may vary [18] Dietary strategies play a crucial role in maintaining glucose control: Follow a balanced diet with controlled carbohydrate portions at each meal Choose low glycaemic index foods (wholegrain bread, pasta, basmati rice) Include adequate protein and healthy fats to slow glucose absorption Avoid sugary drinks and limit processed foods high in refined carbohydrates Consider referral to a dietitian for personalised advice Physical activity significantly improves insulin sensitivity and glucose uptake: Aim for at least 150 minutes of moderate-intensity activity weekly (UK Chief Medical Officers' recommendation) Include both aerobic exercise (walking, cycling, swimming) and strength training on at least 2 days per week Even short walks after meals can help lower post-prandial glucose levels [15] [16] Weight management is particularly relevant as many patients experience weight loss while on Rybelsus and may be at risk of weight regain after stopping

Antihistamines improve cardiovascular manifestations and other symptoms of long-COVID attributed to mast cell activation

Incidence and Predictors of Primary Nonadherence to Sodium Glucose Co-transporter 2 Inhibitors and Glucagon-Like Peptide 1 Agonists in a Large Integrated Healthcare System

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Furthermore, the immune suppression caused by mycotoxins can make patients highly susceptible to chronic viral reactivations (like Epstein-Barr Virus) and tick-borne infections (like Lyme disease), which are frequently seen in the ME/CFS and Long COVID populations