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May 10, 1913


Author Affiliations

Professor of Internal Medicine at the University of Berlin BERLIN

JAMA. 1913;60(19):1410-1412. doi:10.1001/jama.1913.04340190004002

The meaning of the carbohydrate treatment in the modern sense is the use of one sort of carbohydrates in nutrition, excluding other sorts, with the aim of diminishing glycosuria and of strengthening tolerance. The other (non-carbohydrate) articles of diet may be varied from time to time, but, as it is desirable to reduce the quantity of protein, meat is not given and only a small quantity of albumin.

This treatment is by no means new. There was a time when it was considered necessary to replace the sugar lost in the urine of diabetic patients; for instance, Piorry and Bouchardat record the experiments of French and English physicians who tried to treat diabetes with great doses of cane-sugar. As far back as fifty years ago, Donkin recommended his diabetic patients to live entirely on donkey's milk for a long period and since then the milk treatment has played a certain

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