July 24, 1948

Diabetes and The Diabetic in the Community

JAMA. 1948;137(13):1172-1173. doi:10.1001/jama.1948.02890470072037

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Where Miss Mary E. Tangney, R.N., confinesherself to advice to patients from the nurse's point of view and to the place which the nurse holds in the field of diabetes she does a good job; the fault with this book is that the authoress takes over too much the function of the physician. She says that "The physician usually orders a small dose of protamine zinc insulin, approximately 20 units, at the first visit, after diagnosis has been established. If the patient is young, 30 units may be ordered; if the patient is elderly, 10 to 16 units." Many physicians do not follow this practice; the layman or nurse who reads this book may say that his physician is not giving the proper treatment. This is a sample of the many controversial questions, such as the type of insulin that is most effective in the treatment of diabetes, the use

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