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Cognitive techniques from CBT can help to identify and challenge general and diabetes-specific cognitive distortions resulting in maladaptive behavior and are usually complemented with behavioral techniques, including behavioral activation and specific behavioral change strategies related to diabetes and mood [218]

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Given that beneficial roles of GLP1 analogues for the prevention of CVD and kidney disease have been well established 80,102 , these drugs could be an ideal option for the treatment of patients with diabetes mellitus at such risk 103