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Nerve conduction velocity slows considerably as the A1C surpasses 9. Impairment of nerve conduction velocity results in irreversible loss of nerve fiber density, resulting in neuropathic pain. Diabetic peripheral neuropathic pain (DPNP) can occur in patients with impaired glucose tolerance and impaired fasting glucose.

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By 2013, the health care reform law requires all drug companies to report this information to the federal government, which will post it on the Web. The busiest ‚ and best compensated ‚ doctors gave dozens of speeches a year, according to the data and interviews. The work can mean a significant salary boost ‚ enough for the kids‚ college tuition, a nicer home, a better vacation. Among the top-paid speakers, some had impressive resumes, clearly demonstrating their expertise as researchers or specialists.]