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Intensive insulin therapy:



A. Prevents the aggressive development of atherosclerosis in diabetic patients
B. Is not associated with unawareness of hypoglycemia.
C. Improves peripheral neuropathy
D. Improves established retinopathy and nephropathy
E. Is indicated in all patients with non–insulin-dependent diabetes mellitus (NIDDM).

This question is part of basic surgery (100q).1

Asked by Alexander, Last updated: Sep 15, 2020

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1 Answer

John Smith

John Smith

John Smith
John Smith

Answered Sep 09, 2016

Improves peripheral neuropathy-intensive insulin therapy is indicated in patients with iddm who can actively participate in their own management and the attainment of the goals set for their blood glucose and glycosylated hemoglobin (hga1 c) levels. because the main complication of intensive therapy is iatrogenic hypoglycemia, this mode of treatment is not indicated for patients with niddm, who often have coexisting medical conditions such as coronary artery disease and who tolerate hypoglycemia poorly. there is little or no evidence that macrovascular disease is affected by intensive insulin therapy, and the added weight gain and hyperinsulinemia associated with the therapy may worsen atherosclerosis. unawareness of hypoglycemia is directly related to a recent hypoglycemia episode, so patients treated intensively are often unaware of the problem. intensive therapy does not improve established retinopathy or nephropathy but slows or prevents progression of these complications; however, better glucose control may improve peripheral neuropathy.
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