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If your medication isnt on the list, youll need to request a "formulary exception" rather than filing a standard appeal

Contact your GP or diabetes specialist promptly if you experience severe persistent vomiting or diarrhoea, severe abdominal pain (particularly radiating to the back), signs of hypoglycaemia, symptoms of gallbladder problems, vision changes, or unexplained persistent nausea beyond the first few weeks

At their worst, side effects such as vomiting and nausea or hypoglycemia can land you in the emergency room

Blood Sugar Swings In people with diabetesor those prone to reactive hypoglycemiaGLP-1 medications can cause: Rapid glucose shifts Subtle hypoglycemia Low or rapidly falling blood sugar often presents as: Irritability Anxiety Short temper Feeling on edge Patients may not recognize this as a blood sugar issue, especially if they are not using continuous glucose monitoring

Am Heart J 2010