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Immediate medical attention is necessary if lightheadedness is accompanied by: Chest pain, pressure, or tightness Severe shortness of breath or difficulty breathing Irregular or rapid heartbeat (palpitations) Severe headache, particularly if sudden onset Slurred speech, facial drooping, or weakness on one side of the body Loss of consciousness or fainting episodes Confusion or altered mental status Seizure activity These symptoms may indicate serious cardiovascular or neurological events requiring emergency evaluation

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Use of sodium-glucose co-transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists according to the 2019 ESC guidelines and the 2019 ADA/EASD consensus report in a national population of patients with type 2 diabetes