ABSTRACT

This chapter presents a case study of a 24-year-old man living with his parents had presented for the first time in May with what proved to be type 1 diabetes. The court found that he had been a loving and engaging young man who had in his past wanted to ‘look top to bottom’ at his diagnosis of dyslexia but gave no other hint of any medical history. At presentation he had received emergency treatment including intravenous insulin and had been discharged the following day, with a plan for education and support in the community. Regrettably, he refused to take his daily insulin at home and re-presented 2 weeks later, mid-May, with ketoacidosis. Despite admission, he declined treatment. No mention is made in the judgement as to the state of his capacity at this point, but restraint was employed to administer insulin. He found this episode ‘extremely traumatic’, leading to a severe adjustment disorder.