The pathologic conditions of the circulation in diabetes and their bearing on the prognosis of that disease have been made a subject for publication by a number of observers, including Jaques Mayer, O. Israel, Schott, von Schmitz, Ebstein and Leonard Weber. My purpose in reopening the subject for discussion is to consider the question from the vascular standpoint and to submit certain observations on blood pressure in diabetes which I have conducted, covering a period of two years.
Reports differ widely as to the condition of the heart in diabetes. There are undoubtedly many cases in which the heart is normal or where the state of the organ corresponds to the general nutritive condition. It would be an amazing exception to the rule of toxic degenerations if the circulatory system could withstand without detriment the irritation of so prolonged and in many cases so intense a toxemia as characterizes this
ELLIOTT AR. A CLINICAL STUDY OF BLOOD PRESSURE VARIATIONS IN DIABETES AND THEIR BEARING ON THE CARDIAC COMPLICATIONS.. JAMA. 1907;XLIX(1):27-30. doi:10.1001/jama.1907.25320010027002h