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Assessment and monitoring: Be vigilant for signs that your diabetes management may be affected, including: Elevated blood glucose readings above your usual range Increased thirst or urination (signs of hyperglycaemia) Unusual fatigue or lack of energy Return of symptoms that were previously well-controlled If you experience severe symptoms such as persistent vomiting, severe abdominal pain, or signs of pancreatitis (rare but serious), seek urgent medical attention from your GP, NHS 111, or 999 as appropriate