Intended for healthcare professionals

Views & Reviews From the Frontline

A golden syrup

BMJ 2008; 336 doi: (Published 26 June 2008) Cite this as: BMJ 2008;336:1508
  1. Des Spence
  1. destwo{at}

Much of my working life is spent listening to confessions. For example, someone with diabetes might say, “I have the occasional KitKat; I’m so sorry, doctor.” Medicine’s denunciation of paternalism is but a sham, for we now attempt to micro-manage every detail of patients’ lives, through medications and health promotion diktats. But this clearly isn’t working.

People with type 2 diabetes fare the worst. Their diagnosis is now an absolute. The term “mild diabetes” has long been retired to the …

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