Managing diabetes, managing medicine

Chronic disease and clinical bureaucracy in post-war Britain

By Martin D. Moore

Managing diabetes, managing medicine

Book Information

  • Format: Hardcover
  • ISBN: 978-1-5261-1307-8
  • Pages: 320
  • Publisher: Manchester University Press
  • Price: £25.00
  • Published Date: February 2019
  • BIC Category: 20th century, c 1900 to c 1999, HISTORY / Social History, MEDICAL / History, Diabetes, Humanities / Social & cultural history, Medicine / History of medicine, History, Modern History, History of Medicine, Social & cultural history, Diabetes, History of medicine
  • Series: Social Histories of Medicine


This book is available as an open access ebook under a CC-BY-NC-ND licence.

Through its study of diabetes care in twentieth-century Britain, Managing diabetes, managing medicine offers the first historical monograph to explore how the decision-making and labour of medical professionals became subject to bureaucratic regulation and managerial oversight. Where much existing literature has cast health care management as either a political imposition or an assertion of medical control, this work positions managerial medicine as a co-constructed venture. Although driven by different motives, doctors, nurses, professional bodies, government agencies and international organisations were all integral to the creation of managerial systems, working within a context of considerable professional, political, technological, economic and cultural change.


'Drawing on a wealth of primary sources, Moore details how local institutions, public health practitioners, and managerial bodies within the NHS interacted with one another within shifting political, economic, and cultural contexts. The first historical monograph to examine how diabetes became the subject of state-managed care, this well-researched book offers fresh perspectives on the history of medicine and is an excellent contribution to historiography. Summing Up: Recommended. Advanced undergraduates and above.'
H. Caldwell, Chestnut Hill College, Choice Connect, Vol. 57, No. 2, October 2019

'Managing Diabetes is an essential contribution to the history of medicine in Britain and will undoubtedly be of interest to both students and scholars of history, politics, medicine, and health pol­icy. Moore provides a fascinating history both of the NHS and the post-war management of chronic disease. Moore's account is well-documented and engaging, and this particular history of diabetes is both compelling and imperative. Its insight con­tributes significant understanding of the rise of surveillance medicine, and the resulting responsibility and expectations placed on both patients and their practitioners evident today.'
Journal of the American Institute of the History of Pharmacy


List of figures
List of abbreviations
Introduction: Managing diabetes, managing medicine
1 Chronicity and the care team in Britain's New Jerusalem
2 Diabetes, risk management, and the birth of modern primary care
3 The making of integrated care
4 Retinopathy screening and the new politics of prevention
5 Constructing standards at a time of crisis
6 Making managerial policy in the neoliberal moment


Martin D. Moore is a Research Fellow in the Wellcome Centre for Cultures and Environments of Health at the University of Exeter

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