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High sugar foods can cause quick spikes in your blood sugar, which may make it more difficult to keep your blood sugar levels stable, even with medication

References Birnbaum, Yochai, Michael C

doi:10.2337/dc18-2028 Holman RR, Bethel MA, Mentz RJ, Thompson VP, Lokhnygina Y, Buse JB, et al

The key points are: use acetic acid or buffered saline as your diluent, mix by rolling rather than vortexing, aliquot into single-use portions, and store at -80C for anything beyond a week's use

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The state has no statutory bar, but pediatric obesity medicine standards generally route minors to in-person specialty care