A 53-yr-old woman was diagnosed with type 1 diabetes mellitus in 1960 at the age of 15. She initially presented with weight loss, frequent urination, and an increased appetite. She has been treated with insulin since her initial diagnosis, having been started on a multiple daily injection (MDI) program in June 1992. Her diabetes was under good control with her glycosylated hemoglobin ranging from 7.4–8.6% (normal range 4–7%) after the MDI program was instituted.

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