December 1933


Arch Intern Med (Chic). 1933;52(6):984-985. doi:10.1001/archinte.1933.00160060158014

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To the Editor:  —In the July, 1933, issue of the Archives, page 147, appeared an article by Dr. H. T. Ricketts, "An Appraisal of the Modified Dextrose Tolerance Test," which contains a number of misleading statements on which I should like to comment.1. In an article, entitled, "Modification of the Dextrose Tolerance Test as an Index of Metabolic Activity of the Liver," by Lewis Gunther, John B. Lagen, William J. Kerr and me (Arch. Int. Med. 46:482 [Sept.] 1930), we claim that a modification of the dextrose tolerance test produces lower blood sugar values in patients with hepatic disease than in normal persons; this is substantiated by the figures of Dr. Ricketts. His graphic chart shows that, with two exceptions, the lowest blood sugar value in the curves of patients with hepatic damage is lower than the lowest figures in the normal and "doubtful" groups. The first exception (11)

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