DOI: 10.2337/diaclin.25.2.41 © 2007 by the American Diabetes Association
Insulin Pumps
I saw a 71-year-old man with type 1 diabetes last Thursday. Of his 58 years of living with diabetes, I've helped provide medical care for 7. He came to see me after his previous physician retired. A stoic, tall man with penetrating eye contact, he prefers to see doctors "as infrequently as possible." Still, he dutifully comes in twice a year and on occasion will try "new stuff." He has seen a lot of "new stuff" in 58 years of living with diabetes. From the isolation of insulin in the early 1920s to the ability to self-monitor blood glucose in the 1970s, the field of diabetes has enjoyed many advances that have the potential to improve the lives of those with diabetes. The value of some of these advances is unequivocal. Although death will visit us all, it cometh much quicker to individuals with type 1 diabetes who are off insulin. The gentleman above would not have seen his 17th birthday, let alone his 71st, without insulin. On the other hand, the eighth angiotensin receptor blocker on the market is unlikely to yield meaningful societal benefit.
In this issue of Clinical Diabetes, Jay S. Skyler, MD, MACP, and
his
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