• Lancet · Nov 1987

    Case Reports

    Interpreting survival rates for the treatment of decompensated diabetes: are we saving too many lives?

    • J S Yudkin, L T Doyal, and B S Hurwitz.
    • Department of Medicine, University College and Middlesex School of Medicine, Whittington Hospital, London.
    • Lancet. 1987 Nov 21; 2 (8569): 1192-5.

    AbstractDiscussion of the case of a patient admitted to hospital with decompensated diabetes revealed a conflict in attitudes to resuscitation of the patient from that disorder and from cardiac arrest. A survey was sent to 200 diabetologists and 200 cardiologists in the United Kingdom, asking about their management of diabetes and their therapeutic approaches to cardiac arrest for 3 elderly patients admitted with severe decompensated diabetes. The response rate was poor (27%) but the answers showed that all 3 patients were more likely to be resuscitated from decompensated diabetes than from cardiac arrest. Possible reasons for a different approach to the two conditions are discussed, and suggestions are put forward for a greater involvement by patients in decisions about future resuscitation.

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