Debates on Diabetes

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Abstract
IN medicine, as in the rest of this political world, there is nothing like a fiat to unite and give voice to the opposition. About a year ago, printed in this Journal as an editorial, a statement by the American Diabetes Association was intended to squash once and for all the "heresy" that control — variously labeled "good", "rigid", "tight" or "chemical" — of the diabetic patient's blood sugar was unimportant in preventing late complications such as nephropathy and retinopathy. "The goals of appropriate therapy should thus include a serious effort to achieve levels of blood glucose as close to . . .

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