First of all, I'm new here. I've been reading these forums since I was first diagnosed as Type I diabetic three months ago. They are really helpful to me. Im from Spain, so sorry if my English is not the best.
Since I was first diagnosed I decided to have a tight control of my blood glucose (under 6). Now I usually have low level of glucose without hypoglycaemias (the lowest glucose was 60) and usually i don't go over 140 (maybe it helps that I was recently diagnosed)
My question is related to the complications and tight control.
The DCCT states that a tight control reduce the risk of the following complications:
It seems pretty clear based on this conclusion that a tight control is a target.
BUT reading the Complication of diabetes article in the wikipedia we can find contradictory information, is not that the tight control is bad, it is that some studies suggest that the complications are not completely related to how good you manage your blood glucose, instead with the autoimmune condition (http://en.wikipedia.org/wiki/Complications_of_diabetes_mellitus#Chronic),
Could it be that retinopathy or other complications may be treated with drugs instead of the BG control?
In an hypothetical case, if a DM1 has a perfect control, as good as a PWOD, for example with a perfect artificial pancreas, they still has risk of complications?
Why the DCCT find that some complications are reduced with tight control?
I am really interested to know what are your thoughts about this. There are more studies that support the conclusions of the DCCT?