BMJ  2007;335 (21 July), doi:10.1136/bmj.39281.508345.47

Editor's Choice

US editor's choice

Is everything you know wrong?

The first 150 words of the full text of this article appear below.

With the pace of new research, sometimes I feel like the title of a favorite comedy album of my youth performed by the Firesign Theatre: Everything you know is wrong (still funny, by the way, and available at http://laughstore.stores.yahoo.net/firtheatseze.html). This week's BMJ makes me wonder whether some of my cherished medical beliefs still deserve my fidelity.

Everyone knows that all patients with diabetes should monitor their blood glucose levels, right? Maybe not. Andrew Farmer and colleagues randomized 453 patients with type 2 diabetes well controlled on diet alone or oral agents into three groups (doi: 10.1136/bmj.39247.447431.BE). One group received usual care without blood glucose self monitoring, one performed self monitoring with a less intensive clinical intervention, and the third did self monitoring with more intensive clinical assistance. After 12 months, there were no significant differences in HbA_1c levels among the three groups. In a related editorial, Simon Heller . . . [Full text of this article]

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Unconventional Wisdom in Medicine.

BM Hegde
bmj.com, 30 Jul 2007 [Full text]