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Increased urination accompanied by the following symptoms may indicate inadequate diabetes control: Excessive thirst (polydipsia) : The combination of increased urination and persistent thirst suggests hyperglycaemia Unexplained weight loss : Despite Ozempic's weight-reducing effects, rapid or excessive weight loss with increased urination may indicate poor glycaemic control Fatigue and blurred vision : These symptoms alongside polyuria suggest elevated blood glucose levels Fruity-smelling breath : This may indicate diabetic ketoacidosis, a medical emergency requiring immediate attention - call 999 or go to A&E Other concerning presentations include: Urinary tract infection (UTI) : Increased frequency accompanied by burning sensation, cloudy or strong-smelling urine, lower abdominal pain, or fever requires prompt medical assessment