That works while a regimen is simple, but as titration choices, side-effect patterns, and lifestyle goals multiply, the familiar approach creates friction: missed doses, unclear injection-site records, and lost context around why a patient paused escalation
Figure 4 Statements Author contributions J-YM documented paper, drew figures, and summarized data
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Urgent medical attention is needed for very high readings (for example, above 20 mmol/L), symptoms of hyperglycaemia (increased thirst, frequent urination, fatigue), or any signs of diabetic ketoacidosis (nausea, vomiting, abdominal pain, fruity breath odour)