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the benefit of diabetes education and I know how much I want to avoid long-term

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microvascular and macrovascular complications. This means sometimes I try hard and

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become hypoglycemic. As many patients with diabetes feel, I know, my body often

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betrays me. In all, I have had 24 emergency room visits to treat hypoglycemia in 23

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years. I have had an A1c under 7% for as long as the measure has been in place but like

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many who are ostensibly in good control, the wide range of my glycemic variability is

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striking.

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otherwise close to diabetes and so you know what that means. Here are some of my

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numbers: I pricked my finger to test my blood glucose about 67,000 times in my life, I

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have taken over 28,000 injections, I have worked my way through 550 bottles of Insulin,

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I have been mildly, moderately or severely hypoglycemic about 3,000 times. That’s the

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downside of a good A1c and in interest in avoiding complications like blindness, dialysis,

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and cardiovascular disease.

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important decisions about how it evaluates new diabetes drugs, specifically whether

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prospective drugs need to be tested for cardiovascular risk in the absence of pre-clinical

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or clinical signals of actual or potential risk. So as you can imagine no one has a greater

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stake in safe drugs than the patients themselves. Right now the burden of good diabetes

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care is extremely high. I feel that imposing additional regulatory barriers on new drugs in

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the absence of those clinical or pre-clinical signals may stifle innovation and could set

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back diabetes care in America. From a patient perspective I must admit that I question

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I put a pump set, painful, in my abdomen about 1,100 times. I have had

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So I mention this history because I realize that FDA will be making

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I have had diabetes since I was a teenager. Most of you are doctors or

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