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The vascularity, the blood haemoglobin concentration, the degree of keratinization of the epithelium, and the type and amount of melanin pigment present are variable determinants of the colour of the oral mucosa

Diabetes care 30 , 13351343 (2007)

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As for clinical outcomes, in the T2DM group, there was a significant reduction in HbA1c (decreased by 1.01% to 1.02%, placebo-adjusted) and a clinically meaningful decrease in body weight of 3.26% to 3.51% after 12 weeks of treatment

The real problem is that we continue to treat a chronic disease with an acute-care mindset