Does thirlwall inquiry show blood glucose result of 999mmol/l

Checked on January 11, 2026
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Executive summary

The materials provided about the Thirlwall Inquiry and related reporting do not show a blood‑glucose (or plasma glucose) result of 999 mmol/L; the inquiry excerpts cited discuss insulin and C‑peptide reporting issues but contain no numeric glucose value of 999 mmol/L [1] [2]. Independent clinical reference material in the sample reporting makes a 999 mmol/L glucose result medically implausible by several orders of magnitude, because normal and abnormal glucose ranges are in single‑digit to low‑double‑digit mmol/L values [3] [4] [5].

1. What the specific claim would mean in clinical terms

A blood glucose concentration of 999 mmol/L, if taken literally, would be astronomically higher than accepted physiological or pathological ranges: standard clinical references define fasting and post‑prandial glucose targets in the range of roughly 3.9–10 mmol/L, and hyperglycaemia thresholds are measured in single‑ or low‑double digits of mmol/L [3] [4] [5]. The reporting provided here on blood glucose conversion and reference ranges explains normal and diagnostic ranges but contains no example or precedent for anything remotely near 999 mmol/L [5] [3].

2. What the Thirlwall Inquiry material in the reporting actually documents

The Thirlwall reporting and documents cited focus on the inquiry’s examination of events at the Countess of Chester Hospital and on laboratory reporting practices in specific infant cases; one summary notes that blood insulin and C‑peptide results displayed on the patient result system and on printed copies did not indicate that the pattern suggested exogenous insulin administration in the cases of Child F and Child L [1]. The public inquiry website and its proceedings are referenced as the primary sources for documents and transcripts [2] [6], but none of the provided Thirlwall snippets or summaries include a glucose reading of 999 mmol/L [1] [2].

3. Why the reported value would be clinically implausible

Clinicians and reference sources in the provided reporting frame blood glucose in mmol/L ranges where normal fasting is roughly 3.9–5.6 mmol/L and diagnostic hyperglycaemia is defined at far lower levels than 999 mmol/L [5] [3] [4]. A literal 999 mmol/L reading would be incompatible with life and inconsistent with laboratory reporting conventions shown in the materials; the cited glucose and conversion guides reinforce that routine glucose measurements and discussion in the inquiry’s context would use values many orders of magnitude lower [5] [3].

4. Plausible reasons the 999 mmol/L figure might have circulated — and what the sources actually show

Misreading, unit‑conversion errors (mg/dL versus mmol/L), transcription mistakes, or an erroneous decimal/place‑value transcription could produce an alarming but false number; the provided documents do show lab reporting problems in how insulin and C‑peptide were contextualised for clinicians in two infant cases, which is a genuine concern distinct from an extraordinary numeric glucose claim [1]. The Thirlwall inquiry pages and transcripts are the authoritative record to check for exact numeric results [2] [6], and the reporting excerpts here do not include any such 999 mmol/L entry [1] [2].

5. Limitations of the available reporting and open questions

The assessment is limited to the documents and snippets supplied; it is possible that unprovided pages of the full inquiry transcript or ancillary laboratory printouts could contain number errors or typographical anomalies, but no such item appears among the provided Thirlwall excerpts or the summarised reporting [1] [2] [6]. Where the supplied reporting addresses lab data it focuses on interpretation gaps around insulin and C‑peptide, not on a hyper‑extreme glucose figure [1].

6. Bottom line

Based on the supplied Thirlwall Inquiry summaries and the clinical reference material provided, there is no evidence in these sources that the Thirlwall Inquiry shows a blood glucose result of 999 mmol/L; the available documents instead highlight interpretive problems with insulin and C‑peptide reporting in certain infant cases and standard glucose reference ranges that make a 999 mmol/L reading implausible [1] [2] [3] [4].

Want to dive deeper?
Where in the Thirlwall Inquiry documents can full lab result printouts (glucose, insulin, and C‑peptide) be accessed?
How do labs report insulin and C‑peptide results and what clinical notes should accompany them to indicate exogenous insulin?
What are common unit‑conversion and transcription errors in lab reporting that can produce wildly incorrect glucose values?