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J Diabetes Complicat 28:399405 Gaede P, Vedel P, Larsen N, Jensen GV, Parving HH, Pedersen O (2003) Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes

Fruits such as mangoes, bananas, and pineapple are high-glycemic (carbohydrates that are quickly digested and cause insulin spikes) and should be limited as well

For severe cases with medical complications (such as electrolyte imbalances, significant dehydration, or cardiovascular symptoms) or significant psychiatric comorbidity (including suicidal thoughts), more intensive support including day programmes or inpatient treatment may be necessary

The Effect of Pyridoxine Hydrochloride Supplementation on Leptin, Adiponectin, Glycemic Indices, and Anthropometric Indices in Obese and Overweight Women Carolina Hormone and Health Center (2024)