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Patient and family education regarding hypoglycemia management is crucial
Other risk factors for B12 deficiency are stress, excessive alcohol use, and smoking
A complete kit includes: A sealed vial or glass ampoule of B12 (cyanocobalamin or methylcobalamin) A 3 mL syringe A drawing needle (typically 18-21 gauge) An injecting needle: 22-25 gauge, 1 to 1.5 inch for intramuscular (IM)
Treatment with high dose vitamin B12 been shown to be safe for more than 50 years Out of fear of overdosing vitamin B12, treatment is often reduced to below the frequency that is needed by the patient, or, even worse, treatment is stopped completely
Transportation and temporary storage outside the home require special consideration to maintain appropriate storage conditions
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