<prompt> In which of the following intensive management of diabetes needed except-Autonomicneuropathycausing postural hypotensionPregnancyPost kidney transplant in diabetic nephropathyDM with acute MI  <response>: Ans is option 4 - DM with acute neuropathy. Cardiovascular disease is increased in patients with diabetes but there is no evidence to suggest that improved glycemic control with intensive management reduces cardiovascular complications in DM Indications for intensive DM management are:- Healthy adults with either type 12 diabetes Purposeful therapeutic attempt to avoid or lessen microvascular complications All pregnant women Management of labile disease patients who had kidney transplantation for diabetic nephropathy. Ref Harrison 19 2427 