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This approach proved effective in reducing diagnostic costs by 30% (Schedvin et al., 2005)

document HbA1c target and achieved level Symptomatic pain management: pregabalin, gabapentin, duloxetine (FDA-approved for DPN), TCAs Foot care: preventive podiatry, custom diabetic footwear (HCPCS A5500A5513), monofilament testing Cardiovascular autonomic: fludrocortisone, midodrine for orthostatic hypotension

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In some patients, proton-pump inhibitors such as Prilosec, Nexium, and others are known to deplete the body of vitamin B12