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NICE NG19 stratifies patients by risk, with those having neuropathy requiring enhanced surveillance, specialist footwear assessment, and rapid access to multidisciplinary foot care teams if ulceration develops
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In addition, regular physical activity is associated with reduced risk of microvascular complications, osteoporosis and cancer in people with type 1 diabetes [148]

Given the large and overlapping populations of GLP-1 RA users and individuals affected by these inner ear disorders, any potential association between GLP-1 RA use and auditory or vestibular outcomes warrants careful investigation and clinical attention

Steinert RE, Poller B, Castelli M, Drewe J, Beglinger C

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