Diabetes in the developing world

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6976.403a (Published 11 February 1995) Cite this as: BMJ 1995;310:403
  1. Zaheer Lakhani
  1. Consultant cardiologist Royal Alexandra Hospital, Edmonton, AB, Canada

    EDITOR,—As a physician with origins in east Africa and with continuing medical links in that region, I was heartened by K G M M Alberti's concern for those who have a “right to life and at a small cost per patient by Western standards.”1 The difficulty in dealing with what is essentially a long term management challenge (a diabetic patient presenting at age 17 may well require insulin for another 40 years or so) rests in being able to guarantee …

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