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BMI should not be used as a sole diagnostic tool

Clin Chem 48(9):13831389 Lonn E et al (2006) Homocysteine lowering with folic acid and B vitamins in vascular disease

4 In the natural, healthy state, Central GIP signals decrease food intake and overcome the weight-promoting effects of physiologic GIP levels in adipose tissues

Within 10 years of T2DM diagnosis, 24.9% of people develop microalbuminuria, 5.3% develop macroalbuminuria, and 0.8% develop advanced CKD that includes persistently elevated plasma creatinine or the need for renal replacement therapy [4]