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September 3, 1938

LEVELS OF CONTROL IN THE TREATMENT OF DIABETES MELLITUS

Author Affiliations

IOWA CITY

From the Department of Pediatrics, State University of Iowa College of Medicine.

JAMA. 1938;111(10):906-909. doi:10.1001/jama.1938.02790360014004
Abstract

For twelve years the treatment of diabetes mellitus in children in our clinic has been based on the premise that the diabetic child has normal propensities for health as long as his diabetes is controlled and that therapy should be based on the maintenance of physiologic conditions as far as possible. Prescribed diets have been planned to meet liberally all requirements for growth and activity. The dosage of insulin has been designed to control hyperglycemia at all times. Whereas the instability of the diabetic child does not permit the fullest attainment of this ideal, continuous approximation of normal blood sugar levels has been our criterion in judging the success of management. Effort has been made to avoid glycosuria of any degree as a regular or frequent occurrence. A regimen of management has been evolved which has made such a level of control possible when suitable supervision of the patient is

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