**6. Conclusions**

This chapter summarises the authors´experience along with outcomes of respected trials and inventions from the insulin era. It became clear that the intensive management of T1D comprising insulin, diet, exercise and control of therapeutic effectiveness may recover the balance between energy intake and expenditure. Active approach to the diagnosis of diabetes and to prevention of retinopathy, nephropathy, diabetic foot and other cardiovascular complications may reduce their potential risks. Adequate education focused on knowledge, skills, attitudes and communication has created a

**Figure 31.** *Journey from the known past to perspectives of unknown future.* *Intensive Management of Type 1 Diabetes in Adults: One Centre Experience 1970–2022 DOI: http://dx.doi.org/10.5772/intechopen.108032*

reliable base for effective approach. Recent technologies including smart insulin pens, hybrid insulin pumps, CGM, FGM and glucometer-strips systems as well as new insulin analogues, and transplantation of Langerhans islets and stem cells are offerring great perspectives (**Figure 31**).

Shall we always be strong enough to transfer the practice-related research outcomes to our daily routine?
