Document Detail


Non-evidence-based concepts are still established in the treatment of IDDM.
MedLine Citation:
PMID:  9677004     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Medicine is and always has been full of unproven concepts. However, when they are frequently used in clinical practice, they seem established and are therefore seldom questioned. In his book 'Follies and fallacies in medicine' (Glasgow, The Tarragon Press, 1989) Peter Skrabanek clearly proposed a way to improve the quality of medicine by being chronically skeptical towards all 'established' concepts. By citing Bertold Brecht he proposed 'scepticemia' as a major tool to speed up the progress in medicine: 'The chief cause of poverty in science is imaginary wealth. The chief aim of science is not to open a door to infinite wisdom but to set a limit to infinite error.' In this article we will try to analyze the evidence of the three so-called cornerstones of diabetes therapy diet, exercise and insulin--with regard to their efficacy in reaching the goals of treatment in type 1 (insulin-dependent) diabetes.
Authors:
T Heise; M Berger; P T Sawicki
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Hormone research     Volume:  50 Suppl 1     ISSN:  0301-0163     ISO Abbreviation:  Horm. Res.     Publication Date:  1998  
Date Detail:
Created Date:  1998-09-17     Completed Date:  1998-09-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0366126     Medline TA:  Horm Res     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  74-8     Citation Subset:  IM    
Affiliation:
Department of Metabolic Diseases and Nutrition, WHO Collaborating Centre for Diabetes, Heinrich-Heine-University Düsseldorf, Germany.
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MeSH Terms
Descriptor/Qualifier:
Diabetes Mellitus, Type 1 / therapy*
Diet
Exercise
Humans
Insulin / therapeutic use
Patient Education as Topic
Chemical
Reg. No./Substance:
11061-68-0/Insulin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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