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Supporters of this theory further indicate that diabetic retinopathy is more prevalent in patients with type 1 diabetes, where insulin is required for management, as opposed to patients with type 2 diabetes, who may be treated with oral hypoglycemic agents that are not statistically associated with an increase in retinopathy

For companies looking to manage the costs, the solution to the problem is just making it more difficult to get the drugs, Ameet Sarpatwari, a drug-pricing expert at Harvard, told me