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A correction has been published: N Engl J Med 2005;352(9):950.

Editorial
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Volume 352:408-409 January 27, 2005 Number 4
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Early Vascular Risk Factor Modification in Type 1 Diabetes
Bruce A. Perkins, M.D., M.P.H., and Vera Bril, M.D.

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 by Tesfaye, S.
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The discovery of insulin some 80 years ago changed type 1 diabetes from an imminently lethal disease to a chronic condition, and clinical care evolved from preventing death to preventing disability. Large-scale studies defined the natural history of the development of early retinal lesions and their progression to loss of vision, leading to interventions such as laser-photocoagulation therapy to help prevent vision loss.1 Similar work identified the fundamental importance of microalbuminuria as a sign of incipient kidney disease and defined some of the necessary interventions to prevent progression of diabetic nephropathy to impairment of renal function and end-stage renal disease.2,3 . . . [Full Text of this Article]


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From the Divisions of Endocrinology and Metabolism (B.A.P.) and Urology (V.B.), University of Toronto, Toronto.


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