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Filler A memorable patient

Welcome to Mr Miracle

BMJ 2008; 337 doi: (Published 29 September 2008) Cite this as: BMJ 2008;337:a1205
  1. Naveed Younis, consultant physician and endocrinologist, Wythenshawe Hospital, Manchester
  1. naveedy{at}

    I first met Mr M four years ago during a teaching session to medical students. He had had diabetes for 75 years and was attending the outpatient clinic for a plantar foot ulcer. His diabetes was diagnosed at the age of 3 years in 1929. Although insulin was first used in humans in 1922, it was expensive and only became widely available in the mid-1930s. In 1929 insulin treatment was not widely available or known about, and M’s doctor simply advised a strict starvation diet that was …

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