The cornerstone of diabetes management remains lifestyle modification and evidence-based pharmacological therapy as outlined in NICE guideline NG28
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Patients should minimize intake of added sugars, particularly fructose-containing beverages, refined carbohydrates, and saturated fats
One-on-one care is provided at every step, from pre-op to surgery and through recovery
For instance, in the presence of the antibiotic metronidazole, thiaminase I substitutes the thiazolium ring of thiamine with the imidazolium ring of metronidazole, resulting in a thiamine antagonist which can inhibit TPK (160)
