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Recent studies have suggested that glycemic variability may serve as an independent risk factor for DN, affecting both peripheral and autonomic nerve functions (Zhang X

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Jenkins DJ, Kitts D, Giovannucci EL, Sahye-Pudaruth S, Paquette M, Blanco Mejia S et al (2020) Selenium, antioxidants, cardiovascular disease, and all-cause mortality: a systematic review and meta-analysis of randomized controlled trials