The term is tight control, and over time, we are learning that when it comes to diabetes, tight control may be the most important phrase in medicine. By tight control, we mean controlling the blood sugar with diet, insulin or oral pills. Over time, uncontrolled blood sugar starts to damage many parts of the body. For instance, in the kidney, it can damage the tiniest of blood vessels, leading to high blood pressure and destruction of the kidney. Yet, when the sugar is controlled and blood pressure is closely monitored, much of the damage of the kidneys can be avoided.
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