The unaccounted death toll of COVID-19

The pandemic and subsequent lockdown measures have had wide-ranging indirect negative impacts on healthcare delivery

Sophie was over 40 when she attended for the first time, 20 years ago.

She was single, lived with her elderly mother and worked from home, editing books for a local publisher.

She presented with polyuria, polydipsia and recurrent UTIs in the context of longstanding obesity; her BMI was 34.

The diagnosis of type 2 diabetes did not come as a surprise.

Sophie was advised about dietary and weight management, started on hypoglycaemics and referred to an ophthalmologist.

What was