Life is SweetBMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2791 (Published 26 May 2010) Cite this as: BMJ 2010;340:c2791
- John Quin, consultant physician, Royal Sussex County Hospital, Brighton
“To each age its defining disease . . . diabetes is the defining affliction of modern Western civilization”—so says Dan Hurley, an investigative journalist who has type 1 diabetes. Here he matches Michael Moore’s anger at institutional dither. This is not a self help guide; this is a counterblast of polemic from a man who knows the price he and we are paying. The Centers for Disease Control now projects that 33% of all American boys and 39% of all girls born in 2000 will develop type 2 diabetes in their lifetime. Hurley’s message is stark—America is killing its youth. So what are we to do?
There was great optimism about diabetes in the early 1980s. We had a bounty of new developments—laser photocoagulation to treat proliferative retinopathy, home blood glucose monitoring, pancreatic transplantation, early insulin pumps (“dumb as a brick”), and talk everywhere of cure within a decade. But now we face a …