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Patients are advised to: Stop smoking smoking impairs circulation and worsens nerve damage Limit alcohol intake excessive alcohol is directly neurotoxic Maintain a healthy weight obesity contributes to poor glycaemic control Engage in regular exercise improves circulation and glucose metabolism Practice meticulous foot care daily inspection, appropriate footwear, and prompt treatment of injuries For symptomatic relief of painful diabetic neuropathy , NICE recommends a stepwise approach to pharmacological treatment

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