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With NOD being a high incidence diagnosis with many proposed preclinical biomarkers and models to help distinguish PDAC-associated diabetes from T2D, there is a strong need to validate these biomarkers and models in multicentre studies to reach consensus on the recommended guidelines for enriching PDAC-associated diabetes within NOD individuals (119)

The Namaste trial also required additional time as the nursing home sites had not taken part in a previous trial and for some of the homes, this was their first experience of research