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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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Common side effects include: Nausea Diarrhea Vomiting Constipation Stomach (abdomen) pain Headache Fatigue (tiredness) Heartburn Bloating, burping, or gas Injection site pain Indigestion Burning feeling in the chest or stomach More serious side effects may include: pancreatitis, gallbladder problems, kidney problems, serious allergic reactions, increased heart rate, and depression