Intended for healthcare professionals


Young man who refused treatment for suspected type 1 diabetes died before palliative care plan was put in place

BMJ 2022; 376 doi: (Published 24 March 2022) Cite this as: BMJ 2022;376:o787
  1. Clare Dyer
  1. The BMJ

A 23 year old man who refused hospital investigation for suspected type 1 diabetes later had a cardiac arrest, went into a vegetative or near vegetative state, and died before a treatment plan for palliative care only, approved by a High Court judge, could be put into effect.1

The man, referred to as M, was fit and well when he attended a clinic at the beginning of the covid-19 pandemic in March 2020 for a painful but apparently minor condition, said Mrs Justice Judd. He was found to have high levels of ketones and glucose in his urine and was told that he should be admitted to hospital for investigation and treatment.

The judge said that it …

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