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If you are planning to become pregnant, talk to your healthcare provider

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Carnitine can be taken at any time of the day along with carbohydrates and protein , e.g

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otherwise contact NHS 111, your local NHS urgent mental health helpline, or Samaritans on 116 123 ) Marked changes in behaviour that concern you or those close to you Any side effect that significantly impacts your quality of life Your GP can : Assess whether symptoms may be related to the medication or other factors Review your overall mental health and screen for depression or anxiety disorders Consider dose adjustment or alternative diabetes management strategies Refer you to mental health services if appropriate In line with NICE guidance for type 2 diabetes (NG28), you should have HbA1c checks every 36 months until stable, then every 6 months, plus at least one comprehensive annual diabetes review