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Increased walking can work wonders for gut motility, as can strategies for proper toileting positioning (and helpful tools such as a Squatty Potty)

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Factors that should alert clinicians to possible nondiabetic aetiologies include an absence of retinopathy, duration of diabetes less than five years, acute renal injury pattern of renal dysfunction rather than gradual progression, presence of haematuria, other systemic disease or nephrotic syndrome (albuminuria greater than 3 g/day, low serum albumin level, oedema and symptoms such as frothy urine)