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However, the mechanism underlying how glucose stimulates the secretion remains unclear

Immediate Management If hypoglycaemia occurs: Break the fast immediately this is medically necessary Have 15-20g fast-acting carbohydrates: 3-5 dates 120ml fruit juice 3-4 glucose tablets Wait 15 minutes and reassess symptoms If symptoms persist: Have another 15-20g carbs and seek medical attention Prevention Strategies Ensure adequate complex carbohydrate intake at Suhoor (covered in Part 2) Never skip Suhoor this is critical when on GLP-1s Monitor symptoms closely, especially in Week 1 of Ramadan Consider dose reduction if on higher doses (Mounjaro 10mg+, Wegovy 1.7mg+) Keep glucose tablets handy if on higher doses Important: The risk is LOW in non-diabetic patients, but being prepared is essential

A 2014 meta-analysis (pooled analysis of published data) showed fumaric acid treatment was as effective as methotrexate for the treatment of psoriasis (Schmitt 2014)

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