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Enhanced Keto Fuel  With poor diabetic control vascular changes appear as early as 2.5 to 3 years after diagnosis; however, with good to excellent control, changes have been postponed for 20 or more years, Changes before puberty are uncommon, but after puberty the poorer the control, the more rapid the vascular changes, with kidney damage, blindness, and neuropathy. The damage in the young diabetic person is to the small blood vessels (microangiopathy), and it has been demonstrated that the elevated blood glucose level- not the genetics- causes the vascular disease.

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