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Consider: Maintaining a consistent injection day and time each week Discussing with your GP whether adjusting injection timing might help Dietary modifications can significantly reduce gastrointestinal side effects that interfere with sleep: Eat smaller, more frequent meals throughout the day Avoid large meals within 34 hours of bedtime Limit fatty, spicy, or rich foods, particularly in the evening Stay well hydrated during the day but reduce fluid intake before bed Avoid caffeine and alcohol, which can exacerbate both gastrointestinal symptoms and sleep problems Blood glucose monitoring is essential, particularly if you experience symptoms suggestive of nocturnal hypoglycaemia

Higher-risk patients have active symptoms, recent dose escalation, high-dose therapy with symptoms, baseline motility disorder, or major aspiration-risk features