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September 7, 1907


JAMA. 1907;XLIX(10):820-825. doi:10.1001/jama.1907.25320100008001c

In presenting this subject no attempt will be made to follow any classification of the different forms of glycosuria nor to distinguish by any close differentiation between glycosuria and its more advanced stage, generally termed diabetes. This is done because at the present time the question of the etiology of diabetes is unsettled, and it is only by observing any individual case of glycosuria for some time that it is possible to determine to what class it will ultimately belong. Another reason for not separating these cases by sharp differentiation into the groups commonly given by the internist is that to the surgeon the mere presence of sugar in the urine is of considerable importance from a standpoint of prognosis.

My object will be to show what causal relation exists between traumatism and certain surgical diseases, and the presence of sugar in the urine, and to point out what influence

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