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Avoid non-board-certified providers or those certified in unrelated specialties

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While a single missed dose is unlikely to cause dangerous hyperglycemia in most patients, those with poorly controlled diabetes or those taking insulin or sulfonylureas should be especially vigilant

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Furthermore, it is conceivable that an already altered microbial community structure in PD, causing an overabundance of pathogenic microbes and a reduction in resident protective microbes, could facilitate -synuclein aggregation and a PD disease phenotype

Hemoglobin A1c targets for glycemic control with pharmacologic therapy for nonpregnant adults with type 2 diabetes mellitus: a guidance statement update from the American College of Physicians