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Abbreviations AACE American Association of Clinical Endocrinology ABCD adiposity-based chronic disease ABPM ambulatory BP monitoring ACCORD Action to Control Cardiovascular Risk in Diabetes ACE angiotensin-converting enzyme ACIP CDC Advisory Committee on Immunization Practices ADA American Diabetes Association ADVANCE Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation AHA American Heart Association AHEI Alternative Healthy Eating Index aHR adjusted hazard ratio AID automated insulin delivery AKI acute kidney injury apo B apolipoprotein B ARB angiotensin II receptor blocker ASCVD atherosclerotic cardiovascular disease A1C hemoglobin A1c BG blood glucose BGM blood glucose monitoring BMI body mass index BP blood pressure CAN cardiovascular autonomic neuropathy CDC Centers for Disease Control and Prevention CDCES certified diabetes care and education specialist CFRD cystic fibrosiserelated diabetes CGM continuous glucose monitoring CHF congestive heart failure CKD chronic kidney disease CKD-EPI Chronic Kidney Disease Epidemiology CMD cardiometabolic disease CPAP continuous positive airway pressure CPG clinical practice guideline CRP C-reactive protein CSII continuous subcutaneous insulin infusion CV cardiovascular CVA cerebrovascular accident CVD cardiovascular disease CVOT cardiovascular outcome trial DASH Dietary Approaches to Stop Hypertension DKA diabetic ketoacidosis DKD diabetic kidney disease DM diabetes mellitus DPN diabetic peripheral neuropathy DPP-4 dipeptidyl peptidase 4 DSMES diabetes self-management education and support eGFR estimated glomerular filtration rate EL evidence level FDA Food and Drug Administration FIELD Fenofibrate Intervention and Event Lowering in Diabetes FPG fasting plasma glucose GDM gestational diabetes mellitus GFR glomerular filtration rate GI gastrointestinal GLP-1 RA glucagon-like peptide-1 receptor agonist HAPO Hyperglycemia and Pregnancy Outcomes HCL hybrid closed-loop HDL-C high-density lipoprotein cholesterol HEI Healthy Eating Index HF heart failure HFpEF heart failure with preserved ejection fraction HFrEF heart failure with reduced ejection fraction HR hazard ratio HRV heart rate variability IC insulin to carbohydrate ICU intensive care unit IFG impaired fasting glucose IGT impaired glucose tolerance isCGM intermittently scanned CGM ISF insulin sensitivity factor IV intravenous KDIGO Kidney Disease: Improving Global Outcomes LDL-C low-density lipoprotein cholesterol MACE major adverse cardiovascular event MDI multiple daily injections MI myocardial infarction MNT medical nutrition therapy MODY maturity-onset diabetes of the young NAFLD nonalcoholic fatty liver disease NASH nonalcoholic steatohepatitis NPH Neutral Protamine Hagedorn OGTT oral glucose tolerance test OR odds ratio OSA obstructive sleep apnea PCSK9 proprotein convertase subtilisin/kexin type 9 PCV pneumococcal conjugate vaccine PG plasma glucose POC point-of-care PPG postprandial glucose PTDM posttransplant diabetes PTH parathyroid hormone QoL quality of life RAAS renin-angiotensin-aldosterone system RCT randomized controlled trial RDN registered dietitian nutritionist rtCGM real-time CGM RZV recombinant zoster vaccine SAP sensor-augmented pump SDOH social determinants of health SGLT2i sodiumglucose cotransporter 2 inhibitor SU sulfonylurea T1D type 1 diabetes T2D type 2 diabetes Tdap tetanus-diphtheria-pertussis TDD total daily dose TIR time in range TZD thiazolidinedione UACR urine albumin-to-creatinine ratio UKPDS UK Prospective Diabetes Study US United States VEGF vascular endothelial growth factor VLDL very low-density lipoprotein WC waist circumference Footnotes Disclaimer: American Association of Clinical Endocrinology clinical practice guidelines include systematically developed recommendations to assist health care professionals in medical decision-making for specific clinical conditions

It is best to consult with a dermatologist who can provide specialised treatment and a precise diagnosis of this condition based on the severity of symptoms, medical history, and a visual examination