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In most cases, they result from blood sugar issues, stress or anxiety, exercise, caffeine, hormonal changes taking place in your body while you are pregnant, dehydration, and even alcohol consumption or nicotine withdrawal

42 In 1994, five PDDs were included in the DSM-IV: autism disorder, Aspergers syndrome, PDD-not otherwise specified (PDD-NOS), Rett syndrome and childhood disintegrative disorder

But smaller volumes are harder to measure accurately on an insulin syringe