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This redefinition of OA from a purely mechanical to a metabolic-inflammatory disorder opens transformative avenues for management, positioning nutritional intervention not merely as supportive care, but as a cornerstone of disease-modifying strategy

NICE guidance (NG28) recommends individualised HbA1c targets, typically around 48 mmol/mol (6.5%) for most adults with type 2 diabetes, or up to 53 mmol/mol (7.0%) for those at risk of hypoglycaemia or with other individual factors