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DAFNE confusion

In a word, yes.
As the following article says, a 10% reduction in hbA1c gives a 43% reduction in the likelihood of retinopathy.

http://m.diabetes.diabetesjournals.org/content/44/8/968.short

And Rome wasn't built in a day. People whose blood sugars are way out of control have to start somewhere. Stepping them down 10% at a time is more likely to result in long term success and (I hate this term but I have to use it) compliance, than a demand for rapid change which just hurls them onto the diabetic 'rollercoaster.' From there, they are likely to retire injured and go back to running high for the sake of their mental security.
 
Hi I live in France and have never been on any course, when I got my pump had five days in hospital told I had to count carbs and adjust bolus, that was that, didn't even show me how to utilize the pump that was five hears ago and have had to learn as I go really, there no wonder my diabetes is brittle with many many complications hope to keep learning new thing here, so far learned I don't know enough!
 
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