Tag: Type 1 diabetes
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A look back at insulin
Shrestha SarafSutton Coldfield, United KingdomSanjay SarafSudarshan RamachandranBirmingham, United Kingdom As we approach the centenary of the isolation, purification, and clinical use of insulin, it is an appropriate moment to reflect on the impact of this hormone on the management of diabetes. Diabetes can be defined as a heterogeneous group of conditions resulting in high blood…
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Omentum: Much more than “policeman of the abdomen”
Ashok SinghChicago, Illinois, United States The omentum is a curtain-like tissue that hangs from the bottom edge of the stomach and covers the abdominal organs below. It is a lattice of adipose (fat) cells peppered with islands of compact tissue known as milky spots, which are clusters of macrophages, lymphocytes, and hematopoietic cells. The omentum…
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Are we gorging on autonomy?
Oliver William MorrissCambridge, England A potentially fatal crisis in the contemporary world threatens the very foundations of public health, in that what were formerly known as “diseases of affluence,” namely stroke, cardiovascular disease, and diabetes, have become a global phenomenon affecting individual lives as well as national economies. Respect for autonomy is fundamental to bioethics;…
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A difficult conversation
Ajanta NaiduIrvine, California, United States Fifteen years old, Jane sat in the exam room innocently denying that large doses of insulin were causing her severely low blood sugars. Living with type 1 diabetes, she had been prescribed daily insulin injections, which she herself administered at meals. Though she denied injecting more than the prescribed amount,…