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Get emergency medical help if you have any of these signs of an allergic reactionhivesdifficulty breathingswelling of your facelipstongueor throat.

If you are already taking another diabetes drugsuch as chlorpropamidefollow your doctor’s directions carefully for stopping the old drug and starting glipizide.

Howeversulfonylureasincluding glipizidecross the placenta and have been associated with neonatal adverse reactions such as hypoglycemiathereforetherapy should be discontinued at least two weeks before expected deliverypoorly-controlled diabetes in pregnancy increases maternal risk for diabetic ketoacidosispre-eclampsiamiscarriagepreterm deliverystillbirthand delivery complicationspoorly controlled diabetes increases fetal risk for major birth defectsstillbirthand macrosomia related morbidity.

Take care not to let your blood sugar get too lowLow blood sugarhypoglycemiacan occur if you skip a mealexercise too longdrink alcoholor are under stressSymptoms include headachehungerweaknesssweatingtremorsirritabilityor trouble concentratingCarry hard candy or glucose tablets with you in case you have low blood sugarOther sugar sources include orange juice and milkBe sure your family and close friends know how to help you in an emergency.

Tell your doctor right away if you have any serious side effectsincludingsigns of infectionsuch as persistent sore throatfevereasy bleeding/bruisingstomach painyellowing eyes/skindark urineunusual tiredness/weaknessunusual/sudden weight gainmental/mood changesswelling hands/feetseizures.

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