Intended for healthcare professionals

Letters Diabetes

Not every child with diabetes needs insulin

BMJ 2010; 341 doi: (Published 16 November 2010) Cite this as: BMJ 2010;341:c6512
  1. Dario Iafusco, research fellow in paediatrics1,
  2. Andrea E Scaramuzza, head of paediatric diabetology and lecturer in paediatrics2,
  3. Alfonso Galderisi, physician1,
  4. Alessandra Cocca, physician1,
  5. Roberto Giugliano, general practitioner3,
  6. Gian Vincenzo Zuccotti, professor of paediatrics2,
  7. Francesco Prisco, associate professor of paediatrics1
  1. 1Department of Paediatrics, Second University of Naples, 80138 Naples, Italy
  2. 2Department of Paediatrics, University of Milan, “Luigi Sacco” Hospital, 20157 Milan, Italy
  3. 3ASL NA-2 Nord, Naples, Italy
  1. dario.iafusco{at}

Insulin is miraculous,1 and, as happens with most good and effective drugs, it has tended to be used whenever doctors meet a child with high blood sugar values. This presupposes that hyperglycaemia in children always means type 1 diabetes, overlooking the existence of many …

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