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This discussion should address: Your specific diabetes control needs and whether alternative medications could provide adequate glycemic management The infant's health status , as premature or medically fragile infants may warrant more conservative medication approaches Your breastfeeding goals , including whether you plan exclusive breastfeeding or combination feeding Monitoring strategies for both maternal blood sugar control and infant growth and development Contact your healthcare provider if you experience severe or persistent side effects while taking any diabetes medication during lactation, including nausea, vomiting, diarrhea, or signs of hypoglycemia (shakiness, sweating, confusion)

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Existing research provides important information, but it does not answer every long-term question

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