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The goal is to choose the smallest set of levers that measurably reduces insulin dose requirements, improves predictability, and lowers glucose exposure over time, worth exploring with your diabetes care team

It is to underline that intellectual disabilities raise relevant ethical concerns in the bariatric treatment of adolescents with PWS and require an accurate preoperative analysis of psychological, social, and ethical aspects to adequately support patients and parents, and the long-term monitoring of the surgical outcome [109]

In some cases, temporarily reducing the dose or slowing the rate of dose escalation may be appropriate

See more For diagnostic procedures such as measuring total Hb mass, it should not exceed 2 measurements within 2 consecutive days
