Scottish GP Malcolm Kendrick has a wonderful way with words about diabetes – and lots else besides. Here’s an oldie but goldie from Kendrick. In it, he argues why so many endocrinologists have got it so wrong about effective treatment for type 2 diabetes. Why they, in effect, look at type 2 diabetes from the wrong way round.

Upside down, if you like.

Kendrick says that insulin is not really the key hormone. It is ‘merely’ the subservient hormone.  The body produces it counter the effects of too much of another hormone, glucagon.

 He’s not saying that insulin isn’t important, just that it is far from essential. He is also saying that drug treatment for diabetes misses the mark. And while useful, metformin is not a wonder drug. If you don’t follow Kendrick, do so. On his blog, he has written a fascinating 40-part series on heart disease. – Marika Sboros