The purpose of intensive sugar diabetes management is to maintain normal blood glucose levels or as close to normal (non-diabetic) levels as posiible. The taget range of the blood sugar levels in the intensive sugar diabetes management is set to 75-125 mg/dl before meals. Main idea behind intensive sugar diabetes management is when blood glucose is maintained at lower levels consistently over the years, the risk of developing the long-term complications of sugar diabetes is significantly reduced. For children with Type 1 diabetes this becomes increasingly important once puberty has begun.
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Following the awarding of the Nobel Prize in medicine (1923) for the discoverers of insulin, Dr, Elliott Joslin predicted that the era of the coma as the central problem of diabetes would give way to the era of diabetes complications. No longer are patients with diabetes dying of diabetic ketoacidosis, insulin has allowed people with diabetes to live longer. Many of this individuals who are not aggressively managed, especially from the onset of diabetes, will develop diabetes complications that are costly to themselves as well as to society. The era of death from diabetic coma was transformed into an era of death from diabetes complications by the discovery of insulin.