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Response to Paris et al: Pediatricians and diabetologists

demonstrate that the degree of glycemic control in these two populations remains insufficient throughout the age span, even for those patients routinely followed in university centers. Optimizing treatment modalities, deliveries, and education to achieve levels of glycemic control comparable to those obtained during the DCCT or in similar, intervention-modified, environments, requires more medical and paramedical resources, thus producing a significant long-term demand for human and financial support.