Intensified insulin regimens. Should they be used in all patients with type I diabetes?

The results of the Diabetes Control and Complications Trial demand a more aggressive approach to glucose control for patients with insulin-dependent diabetes mellitus. Intensified insulin regimens offer the potential for implementing this mandate. Goals of treatment should be jointly set by the patient and the professional healthcare team. The emphasis then should be on achieving those goals, using the simplest possible intensification regimen.