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Tight Management of Type 1 Diabetes Worth the Effort
Date:7/27/2009

that with the improved management tools available today, these results will likely be even better in the future.

Both also pointed out that lower HbA1c levels can cause another serious complication -- low blood sugar (hypoglycemia). Severe hypoglycemia that resulted in either a coma or seizure occurred in 16 percent of the DCCT intensive management group, and between 10 percent and 20 percent of the EDC group. Araneo said that better and more frequent blood glucose monitoring has likely reduced the number of severe episodes, but a lack of awareness of hypoglycemia and hypoglycemia remain big problems.

The bottom line, she said, "is that there's always something you can do about diabetes. It's not hopeless. There's better management now than ever, and with continued research there will be better management in the future. There's excellent hope that someone with type 1 diabetes won't suffer the health decline associated with diabetes complications."

More information

Learn more about type 1 diabetes from the Nemours Foundation's KidsHealth.



SOURCES: David Nathan, M.D., director, diabetes center, Massachussetts General Hospital, and professor, medicine, Harvard Medical School, Boston; Barbara Araneo, Ph.D., director, diabetic complications, Juvenile Diabetes Research Foundation, New York City; July 27, 2009, Archives of Internal Medicine


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