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Article
December 8, 1917

EDEMA AS A DANGER SIGNAL IN THE STARVATION TREATMENT OF DIABETES

JAMA. 1917;LXIX(23):1962-1963. doi:10.1001/jama.1917.02590500044011

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Abstract

Since the popularization of the starvation method in newspapers and magazines, diabetics who had been carried along comfortably and safely for years have been clamoring for starvation. When their regular physician would not adopt the treatment, pilgrimages were undertaken to institutions that featured this cure.

My personal experience teaches me that in mild cases and cases of medium severity this rigorous plan is quite superfluous, and in certain types of the disease more dangerous than the old established methods. There is this advantage in the method, that the period of protein starvation that inaugurates every tolerance determination is materially shortened. This is not new, or altogether safe; it is advantageous chiefly from the economic standpoint by reducing the length of the hospital period.

As to tolerance, I have never so far seen an increase of the tolerance for carbohydrates in these milder cases follow a starvation cure; in fact, as

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