Its nice that your eye, foot, and kidney exams show no gross abnormalities. But were talking here about microvascular disease, so you should look upon that as a lack of bad news, not a bit of good news. The latter would be much too optimistic. Also, Id caution you not to compare your Type II diabetes to your friends Type I diabetes. Theyre completely different problems. Type Is can decrease their risks of organ damage by tightly controlling their blood sugars. To date, the only thing tight control in Type IIs seems to do is increase the incidence of hypoglycemic episodes. For you, diet, weight control, and sulfonylureas will decrease your risks; everything else, including the insulin, only keeps you out of a hyperglycemic hyperosmotic nonketotic coma. Most diabetics, and a large number of doctors, arent aware of that, so keep your guard up, and try to take better control of yourself.
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