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She and her partner should learn to recognize interaction tensions and ways to deal with these to limit stress in their environment. A carefully planned sequence for instruction, similar to a builderâs blueprint for a house. Chronic management of DM is also based on periodic measurement of glycosylated hemoglobin levels (HbA1c). Several tests are helpful in identifying DM. Children with this form of DM are not prone to diabetic ketoacidosis. Contrary to what is being observed in other countries, brunch in the afternoon between 3:00 and 4:00 pm is called merienda, a traditional snack carried over by Spanish colonialism. An example of a small, circular DNA molecule used as a vector to transfer foreign DNA to a host cell is a A. Syntax. Many brands are now waking up to the deprecation of, These are included to support items that might otherwise crumble or melt through the oven’s internal rack during the cooking process, such as, The penguin, according to my unscientific interpretation, was trying to share its seafood meal with me, like splitting a, That high fiber content weighs down breads and results in, Despite Google’s commitment to finding a privacy-safe alternative to third-party. When DI is a side effect of drug therapy, the offending drug is withheld. When the disease occurs in childhood, it is called Best disease. [20] Brunch buffets also existed in other parts of Southern Ontario, including Kitchener-Waterloo, where the German-term Smorgasborgs was sometimes used, from the 1970s onward. It puts you in a good temper, it makes you satisfied with yourself and your fellow beings, it sweeps away the worries and cobwebs of the week. The did merge with Wagner but in time had to close shop. See: Any of nine distinct genetic syndromes that affect muscular strength and action, some of which first become obvious in infancy, whereas others manifest in adolescence or young adulthood. This book is the third in a series evaluating underexploited African plant resources that could help broaden and secure Africa's food supply. It is caused by destruction of islet cells (the cells in the pancreas that make insulin) as well as a decrease in sensitivity of the liver and muscles to the actions of insulin. An autosomal dominant retinal disease in which central visual acuity is diminished when lipofuscin accumulates under the macula. Oral hypoglycemic agents, insulin, and exercise are the primary methods of treatment. 14 S. Meal Deal 7. We would like to show you a description here but the site wonât allow us. This comprehensive guide will prepare candidates for the test in all 50 states. Some colleges and hotels serve brunch. Words that have similar meanings. Insulin glargine (Lantus), once used for gestational diabetes, is no longer recommended for pregnant women. Longitudinal ridging and fragmentation of all the fingernails and toenails. list. Found inside – Page 12Obviously, the last example involves neither synonyms nor homonyms. The story of the rhetorical ... Burkhardt chooses “Die Mahlzeit beschließt” (which can be roughly translated as 'the meal has ruled. ... The replacement of Gericht ... See: insulin pump for illus. Words that have similar meanings. à¹à¸à¸µà¸¢à¸à¸à¸: adequate, enough, acceptable: If I buy two pounds of fish that should be sufficient for four people. https://medical-dictionary.thefreedictionary.com/DM. See: An eye disorder in which the corneal endothelium becomes cloudy, resulting in myopia. Saturated fats should be limited to less than 7% of total caloric intake, and trans-fatty acids (unsaturated fats with hydrogen added) minimized. This document is organized into the following sections: Section 1, Introduction, provides an overall introduction to the v3.3 models and describes changes from prior versions. These include tests of fasting plasma glucose levels, casual (randomly assessed) glucose levels, or glycosylated hemoglobin levels. alternative, replacement: Corn syrup is used as a substitute for sugar in many food products. It is usually served between 9am and 1pm. Larry, They all are rare Griswold and Wagner, The biggest reason they couldnât continue manufacturing was the quality standard by machining the interior surface, and the WW2. Fluid balance is monitored. Meal definition, the food served and eaten especially at one of the customary, regular occasions for taking food during the day, as breakfast, lunch, or supper. This manual provides expert practical guidelines for the management of severely malnourished children. Participation in an intensive therapy program requires a motivated patient, but it can dramatically reduce eye, nerve, and renal complications compared to conventional therapy. diabetes mellitus (DM). WELL-CONTROLLED DIABETES MELLITUS: Daily blood sugar abstracted from the records of a patient whose DM is well controlled (hemoglobin A1c=6.4). 45,000 lower-extremity diabetic amputations are performed in the U.S. each year. A carefully planned sequence for instruction, similar to a builderâs blueprint for a house. Roget's 21st Century Thesaurus, Third Edition Copyright © 2013 by the Philip Lief Group. [1][2][3] The word is a portmanteau of breakfast and lunch. An abnormal response of the nerves of the face or of an extremity, marked by pain, autonomic dysfunction, vasomotor instability, and tissue swelling. The United States, Canada and United Kingdom militaries often serve weekend brunch in the dining facilities. PNA: Abbreviation for: Paris Nomina Anatomica partial nail avulsion percutaneous needle aspiration Personal Needs Allowance Pharmaceutical Needs Assessment purine nucleoside analogue Often one dose of long-acting insulin at bedtime is sufficient, with rapid-acting insulins, i.e., regular insulin, insulin aspart recombinant (Novolog), or insulin lispro recombinant (Humalog) used to aid optimal glycemic control. Early mobilization of the body part with multimodality therapy may improve the symptoms of reflex sympathetic dystrophy. Used in a sentence. The patient and family should be referred to local and national support and information groups and may require psychological counseling. - Canadian Living", "The Ultimate Vancouver Brunch Guide: Edible Canada", "The Birth of Brunch: Where Did This Meal Come From Anyway?" By eliminating the need to get up early on Sunday, brunch would make life brighter for Saturday-night carousers. Representative forms of macular dystrophy include Best disease and Stargardt disease. The most common form of type 1 DM. The patient is taught the importance of maintaining normal blood pressure levels (120/80 mm Hg or lower). DM that manifests itself during times of stress such as pregnancy, infectious disease, weight gain, or trauma. Note that, however, in Quebec, déjeuner alone (even without the qualifying adjective petit) means "breakfast". An autosomal dominant disorder caused by the repeated expansion of the trinucleotide sequence cytosine-thymidine-guanine (CTG)) in the DNA of chromosome 19. The patient is prone to develop diabetic ketoacidosis if he or she is not treated with insulin. The patient is taught about deep breathing and relaxation exercises and encouraged to engage in activities that she enjoys and finds relaxing. The word is a portmanteau of breakfast and lunch. This book assembles the science related to vegetarian and plant-based diets in a comprehensive, balanced, single reference that discusses both the overall benefits of plant-based diets on health and the risk of disease and issues concerning ... This first-ever Surgeon General's Report on bone health and osteoporosis illustrates the large burden that bone disease places on our Nation and its citizens. Hyperglycemic crises are treated initially with prescribed intravenous fluids and insulin and later with potassium replacement based on laboratory values. Type 2 DM is often asymptomatic in its early years. If euglycemia is not achieved by nutrition therapy and exercise within 10 days, insulin is started. Inside you will discover 25 bar recipes that you won't be able to resist once you get a bite. So, what are you waiting for? Grab a copy of this book and start cooking today! Classic symptoms of DM are polyuria, polydipsia, and weight loss. Other elements in care include receiving regular vaccinations, e.g., to prevent influenza and pneumococcal pneumonia). The Stamp casting on bottom will pretty much tell when it was cast. DM that usually has its onset before the age of 25 years, in which the essential abnormality is related to absolute insulin deficiency. In type 1a DM, antibodies against insulin, islet cells of the pancreas, or glutamic acid decarboxylase is often present in the blood. Affected patients often complain of burning pain with any movement of an affected body part, excessive sensitivity to light touch or minor stimulation, temperature changes (heat or cold) in the affected limb, localized sweating, localized changes of skin color, or atrophic changes in the skin, nails, or musculature. New Knoxville, OH 45871 419-753-2909Best Food Trucks (BFT) is the nation's largest food truck booking & ordering platform. The disease is marked by alternating episodes of hypoglycemia and hyperglycemia. With our unique step-by-step lessons, children gain confidence in their comprehension skills so they are eager to read more! Our Reading Workbooks use a combination of phonics and whole-language instruction to make reading feel effortless. It was formerly known as. Acute pancreatitis is an acute inflammatory process of the pancreas. 8. Most patients, however, require the addition of some form of oral hypoglycemic drug or insulin. DM types 1 and 2 are both treated with specialized diets, regular exercise, intensive foot and eye care, and medications. Most patients affected by LADA eventually require insulin therapy, like patients with type 1 DM. This book will tell all you need to know about British English spelling. It has a lot less than raw cocoa powder. The length of the therapy and the importance of taking medications as prescribed and not discontinuing them without consulting the prescriber are stressed. Though Italian meal terminologies have generally shifted since widespread use of this naming scheme, the concept of a distinct mid-morning meal combining aspects of breakfast and lunch is largely one imported from the UK and North America in the last century, and so the Anglicism "brunch" is predominant.[19]. Synonyms for manager include administrator, executive, supervisor, director, boss, head, superintendent, governor, proprietor and overseer. The area now known as Leslieville neighbourhood is sometimes called the brunch capital of Toronto as many renowned establishments serve brunch in that neighbourhood. Both types of diabetics also may be prescribed pramlintide (Symlin), a synthetic analog of human amylin, a hormone manufactured in the pancreatic beta cells. Even performing 15 to 20 min of “armchair exercises” daily (while reading or watching television) can help the pregnant woman reduce hyperglycemia without increasing the risk of inducing uterine contractions. See phonics. Diabetes associated with destruction of the exocrine and endocrine functions of the pancreas, such as occurs in chronic or recurrent pancreatitis. A form of type 1 diabetes usually diagnosed after 30 years of age, in which there are serum antibodies against insulin, pancreatic islet cells, or the protein products of those cells. 14 S. Meal Deal 7. Type 2 DM results partly from a decreased sensitivity of muscle cells to insulin-mediated glucose uptake and partly from a relative decrease in pancreatic insulin secretion. Pregnant women require three to four times the amount of insulin needed by a nonpregnant woman. Some negative aspects of intensive therapy include a three times more frequent occurrence of severe hypoglycemia, weight gain, and an adverse effect on serum lipid levels, i.e., a rise in total cholesterol, LDL cholesterol, and triglycerides and a fall in HDL cholesterol. Some Carlâs Jr. 105 W Morenci St, Lyons, OH 43533. Coping strategies should be explored. Renal glycosuria, marked by a low renal threshold for glucose. This book is part of the TREDITION CLASSICS. The Office québécois de la langue française accepts "brunch" as a valid word but also provides a synonym déjeuner-buffet. Brunch originated in England in the late 19th century and became popular in the United States in the 1930s. Hydrochlorothiazide can be prescribed for nephrogenic DI not caused by drug therapy; amiloride may be used in nephrogenic DI caused by lithium administration. Weakness in the limbs often follows. Caloric restriction, a cornerstone of treatment for other forms of diabetes, is relatively contraindicated because of the need for aggressive nutritional supplementation in CF patients. The woman’s feelings about her pregnancy and diabetes as well as her support system should be carefully assessed. Syntax. Most of these amputations are preventable with regular foot care and examinations. Formal theory. The patient may have episodes of diabetic ketoacidosis but marked insulin resistance and an obese body type. Recurrence of polyuria may indicate dosing that is too low. sufficient: adj. The diabetic patient should learn to recognize symptoms of low blood sugar (such as confusion, sweats, and palpitations) and high blood sugar (such as, polyuria and polydipsia). The average capillary blood glucose level is 104 mg/dL, and the standard deviation is 19. "It is talk-compelling. It is the most commonly inherited of the muscular dystrophies. The patient should be encouraged to maintain as full and normal a life as possible and to avoid prolonged bed rest. The urine is dilute (specific gravity is often below 1.005), and typically the patient's serum sodium level and osmolality rise as free water is eliminated as urine. Hypoglycemic reactions are promptly treated by giving carbohydrates (orange juice, hard candy, honey, or any sugary food); if necessary, subcutaneous or intramuscular glucagon or intravenous dextrose (if the patient is not conscious) is administered. 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The patient is instructed in nasal insufflation of vasopressin (desmopressin acetate, effective for 8 to 20 hr, depending on dosage), the oral tablet form being more useful for bedtime or administration of subcutaneous or intramuscular vasopressin (effective for 2 to 6 hr). The first verses of Acts chapter two describe the coming of the ⦠In some patients the condition can be controlled by careful diet and regular exercise. A type of DM that occurs predominantly in adults. Chicken Donner, Donner Kebab, Fries, Any 14inch Pizza, 12inch Garlic Bread Cheese, 7 hot wings and 7 Onion Rings. Target blood glucose levels are 90 mg/dL or less (fasting) and 120 to 140 mg/dL postprandially. With this work, the compilers also establish an acceptable standard writing system with which to record the Carolinian language. The urine is checked for microalbumin or overt protein losses, an early indication of nephropathy. Patients should be evaluated regularly for retinal disease and visual impairment and peripheral and autonomic nervous system abnormalities, e.g., loss of sensation in the feet. DM results either from failure of the pancreas to produce insulin (type 1 DM) or from insulin resistance, with inadequate insulin secretion to sustain normal metabolism (type 2 DM). Smithsonian.com, https://en.wikipedia.org/w/index.php?title=Brunch&oldid=1053572283, Short description is different from Wikidata, Articles containing Italian-language text, Creative Commons Attribution-ShareAlike License, This page was last edited on 4 November 2021, at 18:06. When a patient with type 1 DM loses metabolic control (such as during infections or periods of noncompliance with therapy), symptoms of diabetic ketoacidosis occur. Synonym. (3) Twenty years ago, you would step out of home, decision of meal and venue already made with no arguments or opposition and everybody looked forward to the meal with equal enthusiasm. The resources available within and from the aspen forest type, and their past and potential uses are examined. Silvicultural methods and other approaches to managing aspen for various resources and uses are presented. Found inside – Page 393Higher levels of incorporation of kernel meal (>75% fishmeal protein replacement) in fish diet, adverse effects on growth, which could be due to the ... Among the many PEs reported, phorbol 12-myristate-13 acetate (PMA) (synonym: ... Is It "Inductive" Or "Deductive": A Reasoning Challenge. The loss of these cells results in nearly complete insulin deficiency; without exogenous insulin, type 1 DM is rapidly fatal. Introduces young readers to Catholic beliefs as expressed in the Catechism of the Catholic Church. According to the CDC, the NIH, and the ADA, about 40% of Americans between ages 40 and 74 have prediabetes, putting them at increased risk for type 2 diabetes and cardiovascular disease. The good ol' dictionary often helps us better understand slang words today. talented: adj. One of several rare forms of muscular dystrophy in which the forearm, hand, calf, and foot muscles are primarily affected as opposed to the muscles of the shoulders or pelvic girdle. Living in a "perfect" world without social ills, a boy approaches the time when he will receive a life assignment from the Elders, but his selection leads him to a mysterious man known as the Giver, who reveals the dark secrets behind the ... Found inside – Page 14Most have 25about these bars is the convenience you are not using them as a meal 100 percent of the daily value of — after all , they're neat , they're replacement , they can sabotage your several vitamins and minerals . Excessive urination caused either by inadequate amounts of circulating vasopressin (antidiuretic hormone) in the body (hypothalamic DI) or by failure of the kidney to respond to antidiuretic hormone (nephrogenic DI). Offers entries for over six thousand idioms, including seven hundred new to this edition, and provides background information, additional cross-references, and national variants. All injuries, cuts, and blisters should be treated promptly. Fluid intake and output, urine specific gravity, and weight are assessed for evidence of dehydration and hypovolemic hypotension. Ptosis and dysphagia beginning in the patient's late 40s or early 50s are characteristic symptoms. Discusses what synonyms and antonyms are, how to use them properly when writing formally and informally, and how to create antonyms using prefixes and suffixes. It is the most common complication of CF other than those conditions that affect the lungs. Home blood glucose self-monitoring is indispensable in helping patients to adjust daily insulin doses according to test results and to achieve optimal long-term control of diabetes. Elevated levels of HbA1c suggest poor long-term glucose control. Diabetes is a chronic disease whose symptoms can be ameliorated and life prolonged by proper therapy. Brunch is a combination of breakfast and lunch and regularly has some form of alcoholic drink (most usually champagne or a cocktail) served with it. The Stamp casting on bottom will pretty much tell when it was cast. [21][22][23][24][25][26] Brunches may also include foods not typically associated with breakfast, such as roasted meats, quiche, soup, smoked salmon, sandwiches, and salads such as Cobb salad.[21][22][25][27]. Take A Sneak Peak At The Movies Coming Out This Week (8/12) See All the Announcements from Disney+ Day! A chronic metabolic disorder marked by hyperglycemia. The Chinese word "早午饭" (pinyin: zǎo wǔfàn) is defined as brunch, with "早饭" (zǎofàn; 早: morning, 饭: meal) meaning breakfast; and "午饭" (wǔfàn; 午: noon, 饭: meal) meaning lunch. (2) By the time order is restored and a decision is arrived at, tempers have risen, feelings injured and there is at least one person grumbling. Food definition, any nourishing substance that is eaten, drunk, or otherwise taken into the body to sustain life, provide energy, promote growth, etc. The disease occurs most often in French-Canadian or Hispanic kindreds. A cuisine is a style of cooking characterized by distinctive ingredients, techniques and dishes, and usually associated with a specific culture or geographic region. A steady, consistent level of daily exercise is prescribed, and participation in a supervised exercise program is recommended. [4] Brunch originated in England in the late 19th century and became popular in the United States in the 1930s. nephropathy, cerebrovascular disease, and cardiovascular disease. When combinations of these agents fail to normalize blood glucose levels, insulin injections are added. Such brunches are often serve-yourself buffets, but menu-ordered meals may be available instead of, or with, the buffet. Never be lost for words with this perfect reference book for young readers and writers. With more than four thousand words, Children's Illustrated Thesaurus has everything a child needs to develop their vocabulary. Detailed information about the disease can be obtained from the Muscular Dystrophy Association website at www.mdausa.org. [14] In Quebec, the word—when francized—is pronounced [bʁɔ̃ʃ]. [5], The 1896 supplement to the Oxford English Dictionary cites Punch magazine, which wrote that the term was coined in Britain in 1895 to describe a Sunday meal for "Saturday-night carousers" in the writer Guy Beringer's article "Brunch: A Plea"[6] in Hunter's Weekly. "Brunch is cheerful, sociable and inciting", Beringer wrote. DM that is exceptionally difficult to control. CFRD is associated with more severe lung disease than is experienced by patients with CF and normal glucose tolerance. Found inside – Page 66Indeed, the number of takeout meals purchased at restaurants has soared from 43 per person in 1984 to Past Most ... the outfit credited with coining the term "home meal replacement" (HMR) — a snazzy synonym for takeout — has always ... Although the precise cause of the syndrome is unknown, it often follows trauma, stroke, neuropathy, or radiculopathy. alternative, replacement: Corn syrup is used as a substitute for sugar in many food products. Dim sum is usually eaten at a mid-morning, midday, and/or mid-afternoon teatime. "Friend Mac Donald" by Max O'Rell. .css-1w804bk{font-size:16px;}See how your sentence looks with different synonyms. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. The empty string is the special case where the sequence has length zero, so there are no symbols in the string. Find more similar words at wordhippo.com! Focuses on the sentence completion question by offering practice in finding words in context. Each question contains a sentence with a fill-in-the-blank space. Maternal complications associated with GDM include pregnancy-induced hypertension, eclampsia, and the need for cesarean section delivery. Both the patient and family are taught to identify signs of dehydration and to report signs of severe dehydration and impending hypovolemia. With nutrients like that, you canmix it with some juice and make it into a natural meal replacement shake. Those nutrition facts are why more than one of us here at Superfoodly gets recurring shipments of cocoa powder through the Subscribe and Save for Navitas Organics on Amazon. The patient with ulcerated or insensitive feet is referred to a podiatrist for continuing foot care and is warned that decreased sensation can mask injuries. Chicken Donner, Donner Kebab, Fries, Any 14inch Pizza, 12inch Garlic Bread Cheese, 7 hot wings and 7 Onion Rings. They offer both breakfast and lunch options and are open from about 09:00-13:00 (though times vary). มีà¸à¸§à¸²à¸¡à¸ªà¸²à¸¡à¸²à¸£à¸, มีà¸à¸£à¸ªà¸§à¸£à¸£à¸à¹: gifted, skilled Night blindness is usually the first symptom, followed by peripheral visual loss. The disease usually first becomes clinically obvious in young adults. Tight control of blood sugar has been shown to improve the survival of patients in intensive-care units and to prevent long-term complications of DM, e.g., blindness, nerve damage, and kidney failure. [16] Even less common but occasionally used is "pranzolazione," derived from the same sources. It enhances postprandial glucose control by slowing gastric emptying, decreasing postprandial glucagon concentrations, and regulating appetite and food intake; thus pramlintide is helpful for patients who do not achieve optimal glucose control with insulin and/or oral antidiabetic agents. The combination of peripheral neuropathy and peripheral arterial disease results in changes in the skin and microvasculature that lead to ulcer formation on the feet and lower legs with poor healing. The dim sum brunch is popular in Chinese restaurants worldwide. Diabetes may be brittle when insulin is not well absorbed; insulin requirements vary rapidly; insulin is improperly prepared or administered; the Somogyi phenomenon is present; the patient has coexisting anorexia or bulimia; the patient's daily exercise routine, diet, or medication schedule varies; or physiological or psychological stress is persistent. The patient is taught to measure intake and output, to monitor weight daily, and to use a hydrometer to measure urine specific gravity. Serum glucose and urine ketone levels are evaluated. The primary symptoms are urinary frequency, thirst, and dehydration. Some patients with type 2 DM can control their disease with a calorically restricted diet (for instance 1600 to 1800 cal/day), regular aerobic exercise, and weight loss. Diet and Health examines the many complex issues concerning diet and its role in increasing or decreasing the risk of chronic disease. See phonics. In addition, patients with hyperglycemia often have blurred vision, increased food consumption (polyphagia), and generalized weakness. When served in a either a private home or a restaurant, a brunch may be served buffet style,[28] in which trays of foods and beverages are available and guests can serve themselves and select the items they want, often in an "all-you-can-eat" fashion. Synthetic phonics. Miami Movie Theaters: A Complete Guide; Best Reactions to Movies Out Now In Theaters Larry, They all are rare Griswold and Wagner, The biggest reason they couldnât continue manufacturing was the quality standard by machining the interior surface, and the WW2. The combination of "早饭" and "午饭" is thus "早午饭", brunch. ", It is sometimes credited to reporter Frank Ward O'Malley, who wrote for the New York newspaper The Sun from 1906 until 1919,[10] allegedly based on the typical mid-day eating habits of a newspaper reporter.[11][12]. Because stress can significantly raise blood glucose levels, stress management is a vital part of therapy. Common symptoms include progressive visual loss followed by the loss of color perception, and eventually peripheral visual loss and night blindness. Enzyme replacement therapy (ERT), using UX003 (vestronidase alfa), was started at four months of age, followed by a hematopoietic stem cell allograft transplantation (HSCT) at 13 months of age. à¹à¸à¸µà¸¢à¸à¸à¸: adequate, enough, acceptable: If I buy two pounds of fish that should be sufficient for four people. Oral agents to control DM include sulfonylurea drugs (such as glipizide), which increase pancreatic secretion of insulin; biguanides or thiazolidinediones (such as metformin or pioglitazone), which increase cellular sensitivity to insulin; or a-glucosidase inhibitors (such as acarbose), which decrease the absorption of carbohydrates from the gastrointestinal tract. Insulin or other hypoglycemic agents are administered as prescribed, and their action and use explained to the patient. With help from a dietitian, a diet is planned based on the recommended amount of calories, protein, carbohydrates, and fats. There is a very strong chance that affected people will eventually develop overt type 2 DM. An example of a small, circular DNA molecule used as a vector to transfer foreign DNA to a host cell is a A. Assuming no prior knowledge of linguistics, the book covers a wide range of topics, including the structure of words, the meaning of words, how their spelling relates to pronunciation, how new words are manufactured or imported from other ... This instructor's edition of a vocabulary textbook for college students, who read at the fifth to eighth grade level, features 25 chapters and teaches 250 basic words. When either condition results in hospitalization, vital signs, weight, fluid intake, urine output, and caloric intake are accurately documented. Take A Sneak Peak At The Movies Coming Out This Week (8/12) See All the Announcements from Disney+ Day! The patient is educated about diabetes, its possible complications and their management, and the importance of adherence to the prescribed therapy. Many amputees have a second amputation within five years. During these days they spent time at the temple (Luke 24:52-53) and in the upper room (Acts 1:13). Patients with DM often also sustain infected ulcerations of the feet, which may result in osteomyelitis and the need for amputation. The American Diabetes Association (1-800-DIABETES) estimates that more than 5 million Americans have type 2 DM without knowing it.
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