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Service quality varies even more

Dose adjustments should always be guided by a medical provider to ensure continued effectiveness

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These may last 60 to 90 days depending on the specific formulation

Editors BorensteinM.HedgesL

Comprehensive diabetes management during pregnancy extends beyond medication selection to include medical nutrition therapy, regular physical activity as tolerated, frequent self-monitoring of blood glucose, and close obstetric surveillance with serial ultrasounds to assess fetal growth and amniotic fluid volume