This article originally posted 21 October, 2011 and appeared in Issue 596
Test Your Knowledge #596: A 28-year-old man who has had type 1 diabetes for 5 years wants to improve his glycemic control
A 28-year-old man who has had type 1 diabetes for 5 years wants to improve his glycemic control to prevent chronic microvascular complications of the disease.
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His hemoglobin A1C value is 8.8%. He is referred for consultation with a diabetes educator and a nutritionist for appropriate education about meal planning and carbohydrate counting. He is also advised that he is at risk for an increased frequency of hypoglycemia.
Which of the following additional pieces of information should be shared with this patient about treatment intensification and improved glycemic control?
A. These changes are associated with an increased risk of cardiovascular disease
B. These changes are associated with an increased risk of hypoglycemia unawareness
C. These changes are unlikely to reverse early kidney damage if already present
D. These changes can only occur if he starts using an insulin pump
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