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August 7, 1897


JAMA. 1897;XXIX(6):287-288. doi:10.1001/jama.1897.02440320031004

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In the treatment of diabetes mellitus the diet has been almost universally considered to be the one all-important matter. The disease, probably as little understood heretofore in its intimate nature as any one in our nosology, has been held to consist mainly in an abnormal excretion of sugar, and all other symptoms have been generally held to be dependent upon this. Just how excessive sugar excretion could produce the whole series of morbid phenomena no one has successfully endeavored to explain; the fact has been accepted and has been made the basis of the treatment. It has been practically assumed that the excess of sugar in the urine must be due, chiefly at least, to an inability of the system to dispose of sugar-producing foods, which normally constitute the larger bulk of our diet, and that the waste thus brought about was, if not the direct cause of all the

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