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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

The BNF advises that patients presenting with neurological symptoms should receive 1000 mcg i.m

[8] The amount of arterial gas embolism that causes symptoms depends on location 2 mL of air in the cerebral circulation can be fatal, while 0.5 mL of air into a coronary artery can cause cardiac arrest