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NICE NG19 recommends annual foot examinations for all people with diabetes, incorporating: 10-g monofilament testing (Semmes-Weinstein monofilament) to assess protective sensation at standardised foot sites Vibration perception using a 128-Hz tuning fork at the hallux Ankle reflex examination Visual inspection for structural deformities, skin changes, and ulceration Assessment of peripheral pulses (dorsalis pedis and posterior tibial) to evaluate vascular status Foot risk stratification (low, moderate, high risk, or active diabetic foot problem) Patients reporting neuropathic symptoms should undergo comprehensive neurological examination

Think density, not quantity

Mixing with 2ml of BAC water to get a 5mg/ml concentration is a common choice, as it provides a good balance for measuring a range of doses accurately

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Improper storage may lead to: Reduced medication effectiveness Poor blood sugar or weight control Wasted doses and higher costs Because biologic damage isnt always visible, prevention is far safer than guessing whether medication is still usable

How is VLDL different from LDL