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Kalscheuer H, Seufert J, Lanzinger S et al (2019) Event rates and risk factors for the development of diabetic ketoacidosis in adult patients with type 1 diabetes: analysis from the DPV registry based on 46,966 patients

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This is likely because insulin resistance, insulin use, and long-standing metabolic disease can blunt weight-loss responses

These spots move distally with nail growth until they resolve