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We also have evidence now that a standard approach to GDM with diagnosis at 24 28 weeks, dietary advice, self-monitoring of blood glucose and insulin therapy as needed reduces these adverse perinatal outcomes.
Investigators could provide supportive therapy as needed including analgesics, antiemetics, antifungal therapy, hydration, or other treatment.
Substance abuse treatment, including needle exchange, alcohol treatment, and opiate substitution therapy, as needed, depend on motivated and able clients.
Patients received the recommended standard treatment regimen, including traditional disease modifying anti-rheumatic drugs (DMARDs) or biological therapy as needed.
Patients could receive supportive therapy as needed throughout the study and commonly taken concomitant medications included anti-infectives, hematopoietic growth factors, transfusions, and antiemetic therapy.
For patients on low-carbohydrate diets, monitor lipid profiles, renal function, and protein intake (in those with nephropathy) and adjust hypoglycemic therapy as needed.
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Regarding the medications used by our population, 15 patients (29%) needed to use salbutamol for asthma attacks between the two visits; most of the patients (80%) also needed steroid courses, either as continuous therapy or as needed.
Typically, patient plasma concentrations are monitored starting at 24 hours post infusion until MTX plasma concentrations fall below 0.1 to 1 μM [ 33- 37], with adjunct rescue therapy implemented as needed.
Unresolved diarrhoea was further treated with opiates and infusion therapy during hospitalisation, as needed.
The observed differences in analgesic therapy (monotherapy, combination therapy, prescription as needed, no therapy) between patients with pain (mild pain symptoms and serious pain symptoms) and without pain were statistically significant (Pearson chi-square 34.26; df 6; p < 0.0001).
Low-dose aspirin and gastroprotective therapy with esomeprazole are allowed as needed, and GI outcomes are to be monitored prospectively.
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