{"id":46575,"date":"2020-02-03T12:45:18","date_gmt":"2020-02-03T11:45:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=46575"},"modified":"2020-02-07T11:12:41","modified_gmt":"2020-02-07T10:12:41","slug":"partha-kar-diabetes-know-your-type","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/","title":{"rendered":"Partha Kar: Diabetes\u2014know your type"},"content":{"rendered":"<p class=\"standfirst\"><span style=\"font-weight: 400\">When it comes to diabetes, the language we use matters. Partha Kar explains why it is vital we are clear about the type of diabetes we are referring to<\/span><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">In a fast moving world dominated by catchy media headlines, it is easy to misinterpret meaning and intent, or miss the underlying message behind the headline.\u00a0 Social media makes it easier for people to air their views and comment without the necessary context or sometimes even without the facts. The main message can get lost even further.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The world of health is no different. We juggle the traditional evidence based methods and meta analyses alongside real world data, conflicts of interest, snap interpretations, or even misinterpretations. Misinterpretations can sometimes be quicker to take hold than the actual message or corrections.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The way that the media report diabetes is a case study in itself. For example, to simply say \u201cdiabetes is a lifestyle issue\u201d misses the mark. Any mention of diabetes should specify the type. Type 1 diabetes is an autoimmune disease with no relation to lifestyle, neither are the genetic types of diabetes (e.g. MODY). Undeniably, lifestyle is a determinant in the development of Type 2 diabetes, yet there is plenty of research to show the role of genetic causes and socio-economic deprivation, and thereby a lack of access to healthy food in the development of Type 2 diabetes too.<\/span><\/p>\n<p><span style=\"font-weight: 400\">An example of how messages can be lost in translation <\/span><a href=\"https:\/\/economictimes.indiatimes.com\/opinion\/interviews\/tackle-lifestyle-issues-for-diabetes-avoid-insulin-fiona-godlee\/articleshow\/55518341.cms\"><span style=\"font-weight: 400\">is an interview by <\/span><i><span style=\"font-weight: 400\">The BMJ<\/span><\/i><span style=\"font-weight: 400\">\u2019s editor in chief, Fiona Godlee,\u00a0 in The <\/span><i><span style=\"font-weight: 400\">Economic Times <\/span><\/i><span style=\"font-weight: 400\">\u00a0in 2016<\/span><\/a><span style=\"font-weight: 400\">. The interview was about the \u201cepidemic of type 2 diabetes\u201d in India and the need to tackle the underlying causes rather than rush to put people on insulin. The interview focused on the risk of overdiagnosis, overtreatment, and industry influence in medicine, and highlighted the need for healthy lifestyles to treat Type 2 diabetes.\u00a0 A healthy lifestyle and access to healthy foods continue to be the cornerstone of Type 2 diabetes prevention, care, or as some recent data suggest, remission. The message of the interview was that we must avoid putting people on insulin quicker than required, before the individual or the healthcare professional has had the opportunity to explore other options for treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The published interview did not specify the type of diabetes that was being discussed. In a nation like India, where insulin comes with its own stigma<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">such as lack of social awareness around injections<\/span><span style=\"font-weight: 400\">\u2014<\/span><span style=\"font-weight: 400\">it is vital that key information like this is specified. Understandably patient organizations representing patients with Type 1 diabetes, as well as healthcare professionals, highlighted this concern.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Fiona Godlee issued the following comment in response:<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cIt is important to clarify that in this interview I was referring to Type 2 Diabetes. This is a condition for which lifestyle changes such as diet and exercise are of paramount importance. There is also mounting evidence that Type 2 Diabetes can be reversed through weight loss (for example from the DIRECT study) and these options need to be explored before considering expensive insulin therapy. As well as individual lifestyle change, there is a need for urgent investment in population-based approaches to support healthier lifestyles, including access to healthy food and clean air. On the other hand, for people with Type 1 Diabetes, which is caused by autoimmune disease, insulin continues to be a life-saving treatment and is currently the only option\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">This was an important clarification and highlights why it is crucial to always specify the type of diabetes being referred to. We must be aware of the issues around sugar consumption, the growing evidence around its impact on health, the relevance of food constituents, and the need to adopt a broader public health approach towards the prevention and treatment of Type 2 diabetes. Yet we also must be aware of the need for insulin as a treatment option for patients with Type 2 diabetes. There is a fine balance to maintain as one tries to get the right message across in a population where stigma about diabetes and needles are high. It is a balance of ensuring those who need insulin are not dissuaded from using it, yet those who could benefit from a public health approach get that opportunity too.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The evidence base is evolving and as healthcare professionals it is our role to educate our colleagues and the larger population about the difference in the types of diabetes. The language we use matters, and helps to avoid stigma. It\u2019s a balance we all must tread carefully as we aim to get the right message across.\u00a0<\/span><\/p>\n<p><em><span class=\"name\"><strong>Partha Kar<\/strong> is a <\/span><span class=\"contrib-role\">consultant in diabetes and endocrinology. Twitter: <a href=\"https:\/\/twitter.com\/parthaskar\">@parthaskar<\/a><\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: <a href=\"https:\/\/www.bmj.com\/about-bmj\/freelance-contributors\">See full declaration<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When it comes to diabetes, the language we use matters. Partha Kar explains why it is vital we are clear about the type of diabetes we are referring to [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38898,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-46575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Partha Kar: Diabetes\u2014know your type - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Partha Kar: Diabetes\u2014know your type - The BMJ\" \/>\n<meta property=\"og:description\" content=\"When it comes to diabetes, the language we use matters. Partha Kar explains why it is vital we are clear about the type of diabetes we are referring to [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-02-03T11:45:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-02-07T10:12:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Partha Kar: Diabetes\u2014know your type\",\"datePublished\":\"2020-02-03T11:45:18+00:00\",\"dateModified\":\"2020-02-07T10:12:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/\"},\"wordCount\":771,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/04\\\/people_speech_bubbles2.jpg\",\"articleSection\":[\"Guest writers\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/\",\"name\":\"Partha Kar: Diabetes\u2014know your type - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/04\\\/people_speech_bubbles2.jpg\",\"datePublished\":\"2020-02-03T11:45:18+00:00\",\"dateModified\":\"2020-02-07T10:12:41+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/04\\\/people_speech_bubbles2.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/04\\\/people_speech_bubbles2.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/02\\\/03\\\/partha-kar-diabetes-know-your-type\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Partha Kar: Diabetes\u2014know your type\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Partha Kar: Diabetes\u2014know your type - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/","og_locale":"en_US","og_type":"article","og_title":"Partha Kar: Diabetes\u2014know your type - The BMJ","og_description":"When it comes to diabetes, the language we use matters. Partha Kar explains why it is vital we are clear about the type of diabetes we are referring to [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2020-02-03T11:45:18+00:00","article_modified_time":"2020-02-07T10:12:41+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Partha Kar: Diabetes\u2014know your type","datePublished":"2020-02-03T11:45:18+00:00","dateModified":"2020-02-07T10:12:41+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/"},"wordCount":771,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg","articleSection":["Guest writers"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/","url":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/","name":"Partha Kar: Diabetes\u2014know your type - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg","datePublished":"2020-02-03T11:45:18+00:00","dateModified":"2020-02-07T10:12:41+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/04\/people_speech_bubbles2.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/03\/partha-kar-diabetes-know-your-type\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Partha Kar: Diabetes\u2014know your type"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/46575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=46575"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/46575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38898"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=46575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=46575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=46575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}