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With the advent of oral blood-sugar-lowering drugs in the 1950s, physicians continued to assume that relatively carbohydrate-rich diets were fine for their diabetic patients so long as they faithfully took their drugs, and if their patients developed complicationsheart disease or strokes, neuropathies, retinopathies, etc.that was because they werent complying with their meds or an inevitable consequence of a chronic progressive disorder

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United States Pharmacopeia (USP)

Many privately insured adults could be medically eligible, but still face policy barriers