A major research study in the early 1990s proved that the best way to avoid
complications of diabetes is to follow what is called "intensive blood glucose
This is the highest standard of diabetes care for those over 13. It can greatly
reduce the long-term health risks of having diabetes.
Intensive management involves:
- 3 or 4 daily injections of insulin or the use of an insulin pump
- Testing blood glucose 4 - 7 times a day
- Adjusting insulin doses to match exercise and food intake
- A diet and exercise plan
- Monthly visits to a health care team
Intensive management is not easy, but it does have both short- and long-term
benefits. In the short run, intensive management allows more freedom to eat
a variety of foods and exercise more freely. In the long run, intensive management
significantly reduces the risk of eye disease, kidney disease, and nerve disease.
Unfortunately, this program is extremely difficult to carry out and is not
a truly practical solution for many patients. In addition, intensive management
does have one significant health drawback -- it increases the risk of low sugar
complications (such as seizures and coma).
The program requires discipline, but the long-term benefits are definitely
worth considering. Discuss with your doctor whether you are a good candidate
for this approach.
The Diabetes Control and Complications Trial Research Group. The effect of
intensive treatment of diabetes on the development and progression of long-term
complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977-986.
McDermott MT. Endocrine Secrets. 4th ed. St. Louis, MO:
Review Date: 5/10/2007
Reviewed By: Robert Hurd, MD, Professor of Endocrinology, Department of Biology, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.
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