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The optimal treatment regimen has yet to be established, however the recommendations based on the grade are listed in table below
Until recently, when basal insulin alone was not enough to maintain glycemic control, the main effective intensification option was to add mealtime bolus insulin in the main meal
Most people begin to notice a difference in their energy levels or skin radiance after 4 to 8 weeks of consistent daily use
These may include: Nausea and stomach upset Diarrhea Constipation Injection site redness or swelling Itching Headache Dizziness Blood clots Swelling In rare cases, some people may experience an allergic reaction to vitamin B12, which can cause symptoms such as hives, difficulty breathing, and swelling of the face, lips, tongue, or throat