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Using proper sterile technique and rotating injection sites can help minimize this

But it does not seem to affect the number of naps needed, quality of life, or sleepiness

(PubMed) Ohara M, Ogawa K, Suda G, et al

Hydration: Maintain adequate fluid intake (minimum 23 liters/day, more with exercise) to support metabolic processes and overall health

Despite lack of evidence proving vitamin E efficacy, it is still frequently prescribed and oftentimes given concurrently with other treatment modalities with hopes of a synergistic role

Advanced stages of diabetic peripheral neuropathy can lead to recurrent foot ulcers and infections, and eventually amputations (86)