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Description

Checking fasting glucose and HbA1c periodically is reasonable, and essentially mandatory for anyone with prediabetes or metabolic syndrome

Patients with severe PGBH usually have diffuse hyperinsulinism without localization on SACST

Still, a clinician may also consider cardiovascular disease, diabetes treatment, sleep apnea, previous response, gastrointestinal tolerance, pregnancy plans, current medicines, access, and whether treatment can be continued