GRANT GWINUP, M.D.
To the editor: Dr. Rizza is to be congratulated on his editorial ( 1 ) presenting a thorough and balanced review of the evidence relating rigid control of blood sugar levels to the microvascular disease of diabetes. His conclusion that "no one knows" if rigid control makes microvascular disease better or worse cannot be contested, although the more recent studies to which he alludes certainly tend to suggest that more rigid control makes retinal microvascular disease worse. Nevertheless, his conclusions run contrary to the "party line" and to a recent position paper by the American Diabetes Association, and he shows
GWINUP G. New Modes of Insulin Administration. Ann Intern Med. ;105:633. doi: 10.7326/0003-4819-105-4-633_2
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Published: Ann Intern Med. 1986;105(4):633.
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