Usher Smith J. Thompson M and Walter F. BMJ Open. Doi: 10.1136/bmjopen-2013-004068
This paper looks at the retrospective diagnosis of type 1 diabetes from the viewpoint of parents, the patient and the children’s GPs. It’s an interesting and educational way of analysing this situation, though the sample is small – there were only 16 sets of parents and 5 GPs (who saw the children before the diagnosis). Despite this, the paper has value. Not surprisingly, the GPs commented on the uncommon nature of the condition and the patients appeared deceptively well. Obtaining samples such as urine and blood are sometimes not easy to obtain in this target group (their ages ranged from two to sixteen). It often took some time (6 to 127 days) from the start of problems to diagnosis. There are good learning points here for all parties. Parents should have more information about when to seek medical advice and GPs perhaps should have a higher index of suspicion. However it is easy to say and hard to achieve in a relatively uncommon condition, hence the descriptive title of the paper.