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September 7, 1929

Die Behandlung der Zuckerkrankheit mit fettarmer Kost.

JAMA. 1929;93(10):792. doi:10.1001/jama.1929.02710100054038

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The authors have departed radically from the traditional low carbohydrate diet in diabetes mellitus. The first seventy pages is devoted to the effect of carbohydrates, proteins and fats on the blood sugar, pancreas and liver. Theoretically a liver filled with glycogen causes a steady increase in tolerance to carbohydrates. It is also asserted that a pancreas which works at full capacity trying to assimilate large amounts of carbohydrates will gradually regenerate its ability to produce insulin. In contrast, a pancreas that is spared suffers a loss of power to produce insulin. It is asserted that protein has a beneficial action to the extent of 80 Gm. or more daily. Blotner and Murphy of Harvard have recently emphasized the importance of a high protein diet, particularly one high in liver, to increase carbohydrate tolerance. A dietary regimen depending on whether the patient has severe or mild diabetes and whether he is

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