October 20, 1934

Current Comment

JAMA. 1934;103(16):1238. doi:10.1001/jama.1934.02750420050015

THYROIDECTOMY IN DIABETES MELLITUS  The influence of the thyroid gland in diabetes has been recognized since Dumontpallier reported a case of glycosuria with exophthalmic goiter in 1867. As the goiter improved under treatment so did the diabetes. Since that time there have been isolated reports of various associations of the thyroid gland and diabetes. So far as is known, however, the recent report of Wilder, Foster and Pemberton1 is the first of complete resection of the thyroid gland in an uncomplicated case of severe diabetes. The patient was a man, aged 26, who had had severe diabetes of eleven years' duration. His basal metabolism was normal (+5 and +2 per cent). In spite of a rigidly restricted diet, about 45 units of insulin was required daily. Before the thyroidectomy he was placed on a diet of 2,300 calories, consisting of 103 Gm. of carbohydrate, 59 Gm. of protein and

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