Taking together, MS in T1DM is associated with increased
prevalence of macro- and microvascular complications, even
in those with good glycaemic control. Lifestyle modifications
as physical exercise, healthy diet and weight reduction have
to be acknowledged as essential therapeutic strategies, not
only for type 2 but also for T1DM persons, in order to improve
quality of life and survival. People with double diabetes are a
special risk population, because the awareness for their
metabolic comorbidities is lacking and stronger efforts are
necessary to identify these patients and explore strategies
to reduce the rate of MS in T1DM.