• Avoid prescribing oral hypoglycaemic agents prematurely. Allow a reasonable trial of diet and exercise for NIDDM patients, especially if they are overweight.
• Review the need for continued oral therapy after 3 months of treatment.
• Glucose tolerance tests should be avoided if the diagnosis can be made on the basis of symptoms and fasting or random blood sugar (a glucose load carries a risk of hyperosmolar coma).
• Keep an eye on the development of ketones in IDDM patients by checking urinary ketones and if present watch carefully because diabetic ketoacidosis is a life-threatening emergency.
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.