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Early warning signs of hypoglycemia may be less obvious in patients with hypoglycemia unawareness which can be due to a long history of diabetes (where deficiencies in the release or response to counter regulatory hormones exist), with autonomic neuropathy, intensified diabetes control, or taking beta-blockers, guanethidine, or reserpine

Entrapment / Compressive Mononeuropathies Conservative: wrist splinting (CTS), activity modification, NSAIDs, corticosteroid injection (CPT 20526 CTS injection) Surgical decompression: carpal tunnel release (CPT 64721), cubital tunnel decompression/transposition (CPT 64718), tarsal tunnel release (CPT 28035), peroneal nerve decompression Post-surgical documentation: note surgical findings, nerve condition, expected recovery timeline Diabetic Neuropathy Glycemic optimization (primary modifier for progression)

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In SIBO, bacteria in the small intestine start fermenting these carbs too early

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