Do you have hypoglycemia, and do you have more episodes when you attempt to control your blood sugar? People are so afraid of hyperglycemia (high sugars), that they often neglect the danger of hypoglycemia (low sugars). A delicate balance is required to achieve control without hypoglycemia. 
A study from Diabetes Care involving 1020 patients (21.3% with type I) demonstrated the significance of patients self report of severe hypoglycemia. They defined severe hypoglycemia as episodes of hypoglycemia requiring assistance. The patients were followed for 5 years and they study showed the 7.5% of patients with severe hypoglycemia had a mortality rate that was 3.4 times higher than those who reported mild hypoglycemia (self treated 61.7%) or no hypoglycemia. There was no evidence from the study that hypoglycemia directly caused the deaths.
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