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Hypoglycaemia following the 2-hour 75 g OGTT in pregnancy Investigating maternal and foetal outcomes

At the lower doses I typically use, combined with very slow titration, these side effects are much less problematic
5.4 Hypoglycemia with Concomitant Use of Insulin Secretagogues or Insulin Patients receiving RYBELSUS in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia [see Adverse Reactions (6.1), Drug Interactions (7)]
Results still depend on the individual: No medication works in isolation