This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
[{'content': 'In which of the following intensive management of diabetes needed except- \nSelect and explain. \nA. Autonomicneuropathycausing postural hypotension, B. Pregnancy, C. Post kidney transplant in diabetic nephropathy, D. DM with acute MI', 'role': 'user'}, {'content': 'Answer: D \nExplanation: 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 1/2 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', 'role': 'assistant'}]