Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
DTeam Archives

Review the entire archive according to the date it was posted.

icon-question-mark
October 28, 1999

Tight Control

Question from New York, USA:

I was very concerned about what I read in the article entitled Conventional Versus Intensive Diabetes Therapy in Children with Type 1 Diabetes. Could you please explain what is meant by "Intensive Therapy"? Is this maintaining "tight control"?

Answer:

Yes. Intensified therapy usually includes 3-5 injections of insulin each day coupled with lots of blood glucose monitoring to help guide decisions about food, snacks, activity and insulin. Insulin can be delivered by pump, by needles or indwelling catheters or by pens but the goal of intensified therapy is to bring hemoglobin A1c safely as close to the normal range as possible without causing excessive or severe episodes of hypoglycemia. It’s associated with 35-70% fewer long term complications in the eyes, kidneys, heart, nervous system and cardiovascular system. It’s our standard treatment recommendation for all our patients who are willing to learn it, but it’s more expensive and takes more dedication of the entire family.

SB