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Although insulin has been available for nearly fifteen years, most diabetic patients are still handled by the old Naunyn method of restricting carbohydrate. If insulin is prescribed, it is usually in a haphazard and inaccurate way, and the patient rarely eats a carefully weighed and measured diet. The cause of this unsatisfactory state of affairs is, the reviewer believes, evident: It is simple to grasp the theoretical requirements of diet (and of insulin), but when it comes to translating a food formula into actual meals the ordinary physician fails miserably; he is, in fact, unable to do it. Hence unless he sees enough patients with diabetes to justify a special setup, including a dietitian-teacher for his patients, he follows the line of least resistance, which is to tell them not to eat sugar and starch and to give insulin in a vague and half-hearted way. Furthermore, the racketeers in the
Diabetes Mellitus and Obesity.. Arch Intern Med (Chic). 1935;56(3):625–626. doi:10.1001/archinte.1935.00170010213012