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Treatment includes controlling blood sugar, medications like duloxetine or pregabalin, and sometimes non-medication therapies to manage symptoms and prevent complications such as ulcers and infections

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This stress leads to suppression of forkhead box O1 (FoxO1) signaling and subsequent upregulation of thioredoxin interacting protein, inhibition of insulin and SOD-2 expression, re-expression of Neurog3, and -cell dedifferentiation and functional failure

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