Pre-school children with diabetes: focus on UK dietary issues and challenges

Abstract

increased risk of large bowel cancer may be an unfavourable side effect of long-term treatment with insulin.' However, because insulin use is linked to the severity of type 2 diabetes, it is possible that the observed association is due to the severity of the diabetes rather than a true effect of the exogenous insulin, a possibility that is described by the authors themselves in the first paragraph of the discussion! 8 ConclusionIn conclusion, obesity, diabetes and hyperglycaemia are associated with an increase in cancer, and insulin resistance/hyperinsulinaemia is a plausible mechanism to explain this. A possible adverse effect of insulin treatment on colorectal cancer has to be given the uniquely Scottish legal verdict of 'not proven'. The last word, however, lies with the BMJ editorial writers who conclude that 'as the prevalence of type 2 diabetes will undoubtedly increase in line with the growing epidemic of obesity, the associations between diabetes and colorectal cancer will be the subjects of increasing scrutiny and research.' 9 James Brown, Senior House Officer III,