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Published 20 May 2009, doi:10.1136/bmj.b2009
Cite this as: BMJ 2009;338:b2009
| The first 100% of the full text of this article appears below. |
Some years ago I tried to persuade several insulin manufacturers that they should put an indicator on the container that would change colour permanently if the insulin had been left outside the desirable temperature range and so become unreliable to use. Then the user would know what had happened. Currently, as was the case with the girl whose insulin pump had been exposed to heat and sunlight and who developed diabetic ketoacidosis on using it afterwards,1 there is no way of knowing whether this has happened.
None of the manufacturers was the slightest bit interested in this suggestion, but perhaps this lesson of the week in the BMJ might stimulate some action.
Cite this as: BMJ 2009;338:b2009
Hilary M Hearnshaw, retired researcher in diabetes care1
1 Warwick Medical School, University of Warwick, Coventry CV4 7AL
hilary.hearnshaw@warwick.ac.uk