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Contact your GP or NHS 111 within 24 hours if you notice: Gradually worsening breathlessness over days or weeks Breathlessness that limits your usual daily activities Persistent cough, particularly if productive or blood-stained Ankle swelling or weight gain (possible fluid retention) Breathlessness when lying flat (orthopnoea) People with type 2 diabetes have an increased cardiovascular risk, and new respiratory symptoms should always be investigated thoroughly

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