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Article
August 29, 1931

AN APPRAISAL OF THE PRESENT TREATMENT OF DIABETES

JAMA. 1931;97(9):595-602. doi:10.1001/jama.1931.02730090009003
Abstract

The present treatment of diabetes is better than is often thought, and, therefore, one should be slow to depart from standard methods. The average patient who consulted me in January, 1931, had already lived half again as long (6.1 years) as his confrère of January, 1922. Indeed, judged by the duration of his disease the average diabetic patient in January, 1931, would have been dead in the January prior to the discovery of insulin, because at that time the total span of life of the diabetic patient did not exceed six years. Furthermore, this January's diabetic patient was older by eight years, his average age being 50 years instead of 42. The proportion of males had decreased to 44 per cent in contrast to 47 per cent in 1921 and 55 per cent a decade before, again illustrating the remarkable change that has taken place in diabetic sex distribution. In

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