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In crude analyses, GLP-1 receptor agonist use was associated with an increased incidence of suicidality compared with DPP-4 inhibitors (crude incidence rates 3.9 v 1.8 per 1000 person years, respectively

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Recent data also strongly associate maternal postprandial hypoglycemia with adverse fetal outcomes, specifically a nearly two-fold increased risk of delivering a small-for-gestational-age (SGA) infant and higher rates of low birth weight