. . . "In addition, restricted access to insulin will result in debilitating complications such as amputations and blindness and a much reduced life expectancy.It is estimated that in the 41 nations defined by the World Bank and the IMF as ???Highly Indebted Poor Countries??? there are 19,000 people with Type 1 diabetes, almost all of whom find the availability or expense for insulin a major hazard to li" . .