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The book
was not the only legacy that Kelly West left. He was a great proponent of
standardisation of methodologies as well as diagnostic criteria. In one of
his more famous papers (3), West report on the polling of a group of
international diabetologists on their views of diagnostic criteria for
diabetes.
There is continual
international debate, and some confusion, as to how best to define and
classify the disorder. The current recommendations are at best a compromise
agreed between authorities who have culled the epidemiological literature
and its data bases for a best fit situation. When the late Kelly West
developed some hypothetical blood glucose results and circulated them to the
group over 20 years ago, even these experts showed great disparity on what
were the diagnoses – he got at least 10 different sets of criteria from
these "experts"! |
