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Questions to ask your care team: Given the two-month washout rule, how will we manage insulin resistance between stopping the medication and conception

Sargeant JA, Brady EM, Zaccardi F et al (2020) Adults with early-onset type 2 diabetes (aged 18-39 years) are severely underrepresented in diabetes clinical research trials

In particular, changes in alcohol and nicotine use (both directly affecting sedation and recovery) may be more common than expected but not always captured in routine documentation

The two primary reasons for stopping were cost or insurance coverage limitations and side effects

they often take a few hours to kick in

"There's great variability," Kessler says