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Unless contraindicated (e.g., in severe renal impairment or acute illness), metformin should typically be continued when adding other glucose-lowering agents
Questions to ask Should I continue my current dose

Obes Rev (2022) 23(6):e13435

Patients new to injections would need to find guidance elsewhere

Regular blood glucose monitoring is essential during this period to detect significant elevations early
Diabetologia (2011) 54:206776
