Insulin has been used in patients with severe painful diabetic neuropathy, even if their glycaemic balance approximates to normal on oral therapy. The rationale is that aggressive normalization of the blood glucose with insulin may relieve the symptoms. Patients with other tissue damage may benefit.
Patients with severe hypertriglyceridaemia (i.e. 10 mmol/l or more) and diabetes may need very good control and therefore are usually treated with insulin to achieve normoglycaemia and normotriglyceridaemia. A very low fat diet and carefully balanced carbohydrate intake are needed, and lipid-lowering drugs may also be required (p. 137).
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.