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December 9, 1961

More on Treating Diabetics

Author Affiliations

Sindoni Clinic, 2301 Pennsylvania Ave., Philadelphia 30

JAMA. 1961;178(10):1051-1052. doi:10.1001/jama.1961.03040490077020

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To the Editor:—  We wish to comment on an answer to the question asked by a North Carolina physician which appeared in Questions and Answers, (JAMA177:278 [July 29] 1961). In that the incidence of diabetes mellitus, with its many serious vascular implications, is on the increase, we believe the answer for the general physician should be more comprehensive.Since we first advocated fasting and postprandial blood sugar studies in patients on insulin and those patients without insulin therapy, (JAMA112:2503 [June 17], ibid., p. 2595 [June 24] 1939; Amer J Dig Dis13:178 [June] 1946; ibid., 20:157 [June] 1953), our answer to the question would be to: (1) place the patient upon an adequate diet compatible with his way of life; (2) subject the patient to a thorough laboratory and physical examination to aid in detecting any disturbance which may play a role in the

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