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When used with insulin or sulfonylureas, dose reductions of these medications are typically necessary to prevent hypoglycemia, with insulin doses often reduced by 1020% at initiation

The authors arbitrarily (and acknowledge that it is arbitrary) recommend fasting from liquids for 4-8 hours (4 hours for no/low-carbohydrate clear liquids and 8 hours for high-carbohydrate clear liquids)

Mental health considerations are equally important

Telemedicine laws in most states require online visits meet the same standard of care as in-person visits