Abstract
To the Editor: The observation has been made that in adolescents with Mauriac syndrome whose diabetes was poorly controlled, achievement of better control was accompanied by rapid progression of retinopathy to proliferative stages.1 We wish to report on a similar occurrence in an adult diabetic patient, a 27-year-old white man with insulin-requiring diabetes from the age of six. He had been treated with 35 to 42 U of neutral protein Hagedorn (NPH) insulin per day and had a level of hemoglobin A1 in the range of 13 to 14 per cent. Upon becoming our patient he agreed to participate in . . .

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