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October 15, 1973

Diabetes and Its Management

Author Affiliations

Evanston, Ill


by W. G. Oakley, D. A. Pyke, and K. W. Taylor, 183 pp, 42 illus, paper, $8, Blackwell Scientific Publications (F. A. Davis Co.), 1973.

JAMA. 1973;226(3):361. doi:10.1001/jama.1973.03230030073039

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This little paperback for students and practicing physicians is founded on the authors' previous text, Clinical Diabetes and Its Biochemical Basis. It is concise, clinically oriented, and practical, yet fairly complete in covering patient care. Important aspects of the historical background, biochemistry, and metabolism are summarized in just a few pages. Classification and specific diagnostic tests are conveniently tabulated and interpreted.

Understandably, principles of diabetic therapy are established rather rigidly under the English system and, in some respects, may differ markedly from those employed in the United States. This is interesting for comparison, but may depart considerably from local practice. Examples are the different measures of unusual foods and the use of larger amounts of solubles mixed with protamine zinc insulin suspension or isophane insulin suspension. It is doubtful that the large amounts of carbohydrate recommended operate as well to prevent hypoglycemic reactions as the generous protein intake ordinarily used