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This phenomenon, sometimes referred to as early worsening of diabetic retinopathy, appears to be related to the magnitude and speed of glucose lowering rather than a direct effect of the medication

High-sugar foods and Drinks Foods with added sugarslike candy, pastries, soda, or sugary coffee drinkscan: Spike blood sugar Increase cravings Exacerbate GI side effects Look for natural alternatives like fruit, or reduce sweetness gradually

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