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Glucose monitoring used to be only via fingerpricks or urine dipstick. But we now have continuous or flash glucose monitoring devices without the need for multiple fingerpricks daily.
We have many more medication options: tablets that not just control glucose, but protect the heart and kidney; insulin that have much lower risk of hypoglycemia than before; tablets/injections which can help glucose control and weight loss.
We also have much better insulin pumps for our type 1 diabetes patients which are able to deliver insulin in a more finely calibrated way with the ability to prevent low sugar episodes.
There are new research ongoing which looks promising that can get much better diabetes control and greater weight loss than what we currently have. Looking forward also to more data on weekly insulin injections rather than daily ones.
So there are new and exciting therapies in the pipelines. But definitely, much has changed over the last 10 years and have given patients more options and better quality of life.