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Blood glucose levels were measured via an Accu-Chek Performa glucometer (Roche, Mannheim, Germany)

Alrowaili, M

Dietary management forms the cornerstone of treatment and should be implemented under dietitian supervision: Reduce simple carbohydrates : Avoid refined sugars, white bread, pastries, and sugary beverages that trigger rapid glucose absorption Increase complex carbohydrates : Choose wholegrain products, vegetables, and legumes with lower glycaemic indices Include protein and healthy fats : These macronutrients slow gastric emptying and glucose absorption Eat smaller, frequent meals : 56 small meals daily rather than 3 large meals Avoid liquid calories : Particularly fruit juices and sweetened drinks Limit alcohol : Alcohol inhibits gluconeogenesis and may precipitate hypoglycaemia Pharmacological interventions may be considered when dietary measures prove insufficient

Step 2: Clean the vial stopper Wipe the rubber stopper of your vial with an alcohol swab