What does intensive diabetes management involve?
All participants in the START trial will receive intensive diabetes management, which is commonly used to improve blood glucose control and lower the risk of long-term complications from type 1 diabetes. The goal of intensive diabetes management is to keep daily blood glucose levels as close to normal as possible. Participants will work closely with the diabetes research study team, as well as their primary care physician and current diabetes care provider. Participants will be expected to check their blood sugar levels at least 4 times a day, and use insulin as prescribed. Each participant will receive individualized treatment plans from the diabetes research team (which includes a nurse educator, dietician, and diabetes physician) in order to develop a comprehensive care plan to manage their diet, exercise, and lifestyle. A member of the diabetes care team will contact participants every 2 weeks. For the five days immediately prior to each study appointment, participants must keep tr
