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Your diabetes team may recommend: Checking blood glucose before bed and upon waking Adjusting doses of other diabetes medications if hypoglycaemia occurs do not adjust insulin or sulphonylurea doses without personalised guidance from your healthcare team Having a small, appropriate bedtime snack if advised by your healthcare team Sleep hygiene practices remain important, as recommended by the NHS and NICE Clinical Knowledge Summaries: [13] Maintain a regular sleep schedule, even at weekends Create a cool, dark, quiet sleeping environment Establish a relaxing bedtime routine Limit screen time for at least one hour before bed Consider relaxation techniques such as deep breathing or progressive muscle relaxation If you have symptoms of obstructive sleep apnoea (snoring, witnessed breathing pauses, excessive daytime sleepiness), discuss this with your GP as you may need referral for assessment

It can help with weight loss and weight maintenance in individuals who are also following an appropriate diet and exercise program

Maintain regular contact with your diabetes care team , especially during the first three months of treatment

Given existing evidence, triple combination therapy can be expected to provide additional cardiorenal protection, although further randomized controlled trials are needed to determine whether triple combination therapy actually has additive or synergetic effects compared with mono or dual therapy
