But tight control has effects you can enjoy right now. You will probably feel better and have more energy. Also, because you adjust your insulin dose to your life, and not the other way around, you have more freedom. You can vary your activities more. And you're not locked into having meals at the same time each day.
Tight control is especially good for pregnant women.
It can reduce the risk of birth defects in the baby. But the DCCT found two major problems with tight control. You will need to be alert to the symptoms of hypoglycemia so that you can treat yourself quickly. Also, you should always test your blood glucose levels before you drive. If you often have low blood glucose reactions when you try tight control, talk to your doctor.