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June 15, 1994

Joslin's Diabetes Mellitus

Author Affiliations

Medical Research Institute of Delaware Medical Center of Delaware Foundation Newark


edited by C. Ronald Kahn and Gordon C. Weir, 13th ed, 1068 pp, with illus, $125, ISBN 0-8121-15317, Philadelphia, Pa, Lea & Febiger, 1994.

JAMA. 1994;271(23):1879-1880. doi:10.1001/jama.1994.03510470083042

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In the 13th largest hospital system in the United States (the Medical Center of Delaware), 12% of patients (excluding mothers and neonates) have diabetes mellitus. Whereas there are approximately 700 patients with diagnosed acquired immunodeficiency syndrome in Delaware, there are 20000 patients diagnosed with diabetes. The office of the primary care physician is filled with obese, hypertensive, older patients with diabetes mellitus. Arguably, diabetes mellitus and syndrome X are the leading pathophysiologic causes of death in the United States.

The care of these patients is long-term, and it is easy to become inured. After a while, both the patient and the clinician lower their expectations of good glucose control. The onset of complications is insidious. Patients change doctors frequently, so the results of years of hyperglycemia become someone else's problem. In the face of the enormity of the problem, the 13th edition of Joslin's Diabetes Mellitus arrives in the office

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