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Chronic health issues
Diabetes Type 2
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Discovery :
Early signs and symptoms
Getting the diagnosis
Causes and risk factors
Care and treatment
Looking for information and support
A doctor speaks – an introduction to diabetes type 2
Controlling diabetes :
Food, eating and diets
Exercise and weight control
Testing blood glucose
Controlling diabetes with oral medications
Coping with insulin
Communicating with healthcare professionals
Possible complications :
Managing hypos
Eyes, feet and kidneys
Depression, feeling down and mood swings
Sexual problems
The long view :
Managing diabetes at work
Home and social life
Adjustment to diabetes and changes in self-image
Misunderstandings about diabetes
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Diabetes Type 2
Subject index
Topic
Chronic health issues
>>
Diabetes Type 2
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Exercise and weight control
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Exercise and weight control
Exercise and weight control
Clip
Chronic health issues
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Diabetes Type 2
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Aged 56 - 65
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Mrs Singh - Interview 05
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Mrs Singh describes the changes she has made to her daily diet (audio in Hindi).
Mrs Singh was diagnosed when she was 49. She takes metformin.
Chronic health issues
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Diabetes Type 2
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Aged 36 - 45
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Raj - Interview 06
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Raj feels more energetic since he has been more careful about when he eats.
Raj was diagnosed when he was 41 when he was having routine tests for a blood disorder (polycythemia) that he has had for the last six years. He takes metformin and pioglitazone for his diabetes.
Chronic health issues
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Diabetes Type 2
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Aged 70 and over
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Kathy - Interview 31
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Kathy does not take any medication for her diabetes and has found it quite easy to change her diet.
Kathy was diagnosed with diabetes just before the interview. She was controlling it with diet and exercise.
Chronic health issues
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Diabetes Type 2
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Aged 70 and over
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Harold - Interview 30
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Harold knows he needs to lose weight but feels that 'human nature' often gets in the way.
Harold was diagnosed in 2000. At the time of interview he was taking metformin and simvastatin.
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Nicky - Interview 18
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Nicky lifts weights when food programmes are on TV and recently joined a karate club with her children.
Diagnosed 4 years ago. Nicky was taking metformin but having established very good control through diet and exercise she no longer takes any medication for diabetes. She also has hypothyroidism.
Chronic health issues
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Diabetes Type 2
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Aged 66 - 69
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James - Interview 26
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James grows vegetables on two allotments and says that all the digging as well as the cycling there and back are working very well for him.
Diagnosed 25 years ago, James takes metformin, doxazosin, lisinipril, gliclazide and sotacor.
Chronic health issues
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Diabetes Type 2
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Aged 56 - 65
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Helen - Interview 09
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Helen says even a 20 minute walk at lunchtimes helped lower her blood glucose levels.
Helen was diagnosed three years ago. She is currently controlling her diabetes with a low dosage of gliclazide + diet and exercise regime.
Chronic health issues
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Diabetes Type 2
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Aged 35 and under
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Kay - Interview 32
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Kay feels embarrassed in her local swimming pool and wishes there were special sessions for people with diabetes.
Diagnosed 4 years ago. Kay took metformin for 2 years and now takes insulin.
Chronic health issues
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Diabetes Type 2
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Aged 56 - 65
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Mike - Interview 16
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When he was younger Mike could eat and drink what he wanted but since having diabetes has had to take more care over his weight.
Diagnosed in 2002. Mike controls his diabetes with diet alone.
Chronic health issues
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Diabetes Type 2
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Aged 35 and under
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Wasim - Interview 22
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Wasim says he's never been keen on exercise and thinks he's probably become quite lazy.
Diagnosed a year ago after emergency admission to hospital. Wasim is on insulin (NovoRapid during the day and Lantus at night).
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Shahnaz - Interview 01
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Shahnaz knows she has to keep her weight under control for her kidney treatment.
Shahnaz was diagnosed 23 years ago, when she was pregnant with her fourth child. She takes insulin and is having kidney dialysis.
Chronic health issues
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Diabetes Type 2
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Aged 56 - 65
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Mike - Interview 16
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At first Mike took metformin but for several years now he has controlled his diabetes with diet and exercise.
Diagnosed in 2002. Mike controls his diabetes with diet alone.
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Sallie - Interview 36
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Sallie was dreading being weighed at the clinic but said that the nurse was 'brilliant'.
Diagnosed 6 years ago. Sallie tried to control it with diet and exercise but has recently started metformin.
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Nicky - Interview 18
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Nicky reacted badly to some of the suggestions made by her GP when she was first diagnosed.
Diagnosed 4 years ago. Nicky was taking metformin but having established very good control through diet and exercise she no longer takes any medication for diabetes. She also has hypothyroidism.
Chronic health issues
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Diabetes Type 2
>>
Aged 36 - 45
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Sylvia - Interview 38
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Sylvia gets fed up sometimes that she can't have the same food and drink as her friends.
Diagnosed a year ago. Sylvia takes metformin, simvastatin and amlopidine.
Chronic health issues
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Diabetes Type 2
>>
Aged 56 - 65
>>
Gareth - Interview 24
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Gareth checks there is bread to eat at restaurants before he takes his insulin.
Gareth was diagnosed 11 years ago. At first he was prescribed tablets, but is now taking insulin which he prefers.
Chronic health issues
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Diabetes Type 2
>>
Aged 56 - 65
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Isabel - Interview 28
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It took a long time for Isabel to adjust to having diabetes but now she is healthier she also feels happier.
Diagnosed when she was 57. Isabel was taking metformin and pioglitazone at the time of interview.
Chronic health issues
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Diabetes Type 2
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Aged 35 and under
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Zoe - Interview 34
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Zoe was determined to prove she could lose weight and walked the Pennine Way.
Zoe was diagnosed 12 years ago. She also has polycystic ovary syndrome. She takes insulin.
Chronic health issues
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Diabetes Type 2
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Aged 35 and under
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Darren - Interview 35
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Darren gets down at always needing to follow a diet and take medication. He works hard at making sure he doesn't stay fed up for too long.
Diagnosed 6 years ago. Darren takes humalog, metformin, atorvastatin and candesartan.
Chronic health issues
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Diabetes Type 2
>>
Aged 46 - 55
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Nicky - Interview 18
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Nicky reacted badly to some of the suggestions made by her GP when she was first diagnosed.
Diagnosed 4 years ago. Nicky was taking metformin but having established very good control through diet and exercise she no longer takes any medication for diabetes. She also has hypothyroidism.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 56 - 65
>>
Mike - Interview 16
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At first Mike took metformin but for several years now he has controlled his diabetes with diet and exercise.
Diagnosed in 2002. Mike controls his diabetes with diet alone.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 35 and under
>>
Zoe - Interview 34
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Zoe prefers to talk to her nurse because she gives helpful advice and listens to her.
Zoe was diagnosed 12 years ago. She also has polycystic ovary syndrome. She takes insulin.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
>>
Sallie - Interview 36
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Sallie was dreading being weighed at the clinic but said that the nurse was 'brilliant'.
Diagnosed 6 years ago. Sallie tried to control it with diet and exercise but has recently started metformin.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 35 and under
>>
Wasim - Interview 22
>>
Wasim says he's never been keen on exercise and thinks he's probably become quite lazy.
Diagnosed a year ago after emergency admission to hospital. Wasim is on insulin (NovoRapid during the day and Lantus at night).
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
>>
Paul - Interview 20
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Once he knew he had diabetes Paul made slow but steady changes to his rugby-lifestyle which has worked.
Paul was diagnosed 14 years ago when he was in hospital for a minor op. He takes metformin and uses other medication to control blood pressure and cholesterol levels.
Chronic health issues
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Diabetes Type 2
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Aged 56 - 65
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Stuart - Interview 12
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Stuart says he has a 'series of excuses' of not taking as much exercise as he should at the moment.
Stuart was diagnosed with diabetes five years ago. Currently he controls his diabetes by diet alone and takes no medication.
Chronic health issues
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Diabetes Type 2
>>
Aged 36 - 45
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Tina - Interview 17
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Tina was diagnosed in her early thirties and felt angry with herself because she had known all along that diabetes ran in her family.
Tina was diagnosed 12 years ago. Initially she tried to control diabetes with diet alone, then transferred to metformin. In 2004 she changed to insulin and now takes Levimir at night.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
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Nicky - Interview 18
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Nicky knew she was overweight when she got the diagnosis but she felt so fit and healthy she didn't believe what she was told.
Diagnosed 4 years ago. Nicky was taking metformin but having established very good control through diet and exercise she no longer takes any medication for diabetes. She also has hypothyroidism.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
>>
Pamela - Interview 08
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Pamela recalls how casual she was about her diabetes until she discovered that it was affecting her eyesight.
Pamela was diagnosed with diabetes four years ago. She takes metformin and rosiglitazone.
Chronic health issues
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Diabetes Type 2
>>
Aged 36 - 45
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Nasir - Interview 21
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Nasir was told his diabetes was probably hereditary but he says he's also been overweight for some time.
Diagnosed 10 years ago, Nasir takes metformin and gliclazide.
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Pamela - Interview 08
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Pamela attributes her diabetes to both hereditary and lifestyle factors.
Pamela was diagnosed with diabetes four years ago. She takes metformin and rosiglitazone.
Chronic health issues
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Diabetes Type 2
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Aged 46 - 55
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Andy - Interview 04
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Andy doesn't know exactly what caused his diabetes but says that chronic pain has always made exercise painful.
Andy has chronic pain as well as diabetes which was diagnosed six months ago. His medication includes Avandamet [rosiglitazone + metformin], simvastatin, Xenical, perindopril, amlodipine and doxazosin.
Chronic health issues
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Diabetes Type 2
>>
Aged 35 and under
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Kay - Interview 32
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Kay talks about her childhood, the abuse she experienced and the effect that had on her weight.
Diagnosed 4 years ago. Kay took metformin for 2 years and now takes insulin.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 35 and under
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Zoe - Interview 34
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Initially Zoe thought that her weight loss was a sign of diabetes.
Zoe was diagnosed 12 years ago. She also has polycystic ovary syndrome. She takes insulin.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 36 - 45
>>
Tina - Interview 17
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Tina has had weight problems since infancy and tried many diets but says what worked for her is eating healthy foods rather than dieting.
Tina was diagnosed 12 years ago. Initially she tried to control diabetes with diet alone, then transferred to metformin. In 2004 she changed to insulin and now takes Levimir at night.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
>>
Pamela - Interview 08
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When she started following the GI diet Pamela found her glucose levels lowered quickly. When she ate smaller portions she began to lose weight.
Pamela was diagnosed with diabetes four years ago. She takes metformin and rosiglitazone.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 35 and under
>>
Darren - Interview 35
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Darren finds controlling his diet and his weight extremely difficult and says that diabetics need much more support with diet and weight loss.
Diagnosed 6 years ago. Darren takes humalog, metformin, atorvastatin and candesartan.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 36 - 45
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Sylvia - Interview 38
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Sylvia tries to follow the advice from her diabetes nurse but misses all the tasty things she used to eat and drink.
Diagnosed a year ago. Sylvia takes metformin, simvastatin and amlopidine.
Chronic health issues
>>
Diabetes Type 2
>>
Aged 46 - 55
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Sallie - Interview 36
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Sallie has lost weight on her new diet but doesn't enjoy it much and still has cravings for chocolate.
Diagnosed 6 years ago. Sallie tried to control it with diet and exercise but has recently started metformin.
Chronic health issues
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Diabetes Type 2
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Aged 36 - 45
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Gugu - Interview 40
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Gugu feels more structured help with food might help. She feels tired after work and doesn't always want to cook fresh food.
Gugu was diagnosed 10 years ago. At first she was prescribed metformin. 3 years before the interview she was transferred to insulin.
Chronic health issues
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Diabetes Type 2
>>
Aged 56 - 65
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Duncan - Interview 27
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Duncan explains that he doesn't want diabetes to dominate his life and so takes a 'broad-brush' approach to his diet.
Diagnosed 2 years ago. Duncan takes metformin, gliclazide, simvastatin, atenolol, ramipril and amlodipine. He has had neuropathy in his feet since 2006 and expects to receive laser eye treatment soon.
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