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Psychologically, the constant monitoring of blood glucose levels, adherence to strict dietary restrictions, and regular antidiabetic medication or insulin use contribute to considerable psychological stress and can lead to anxiety and depression [114, 115]
PATHOPHYSIOLOGY OF DKD DKD arises from a complex interplay of metabolic, inflammatory, and hemodynamic disturbances, differing notably between type 1 and type 2 diabetes mellitus [19,20]
The study suggests that GLP-1 therapy in this group led to increased costs without clear health benefits over the observed period
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