August 1954

The Practical Management of Diabetes.

Author Affiliations

By Edward Tolstoi, M.D. Price, $3.25. Pp. 93. Charles C Thomas, Publisher, 301 E. Lawrence Ave., Springfield, Ill., 1953.

AMA Arch Intern Med. 1954;94(2):329. doi:10.1001/archinte.1954.00250020163017

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This monograph is another member of Thomas' American Lecture Series, edited by Gygorgy, Leiter, and Waife. It is a short, empirical treatise, dealing almost exclusively with details of treatment as used by the author in his liberal approach to diabetes mellitus.

The main theme is to the effect that abnormal glycosuria and hyperglycemia do no harm in diabetes, provided enough insulin is used to prevent symptoms, avoid acidosis, and maintain weight. No proof of this is offered. Refutation of some of the evidence to the contrary is attempted, but it is unconvincing, chiefly because facts are too often ignored and opinions too freely expressed.

The argumentative character of the monograph is offset, to some extent, by short useful descriptions of diabetic acidosis, pregnancy and neonatal care for diabetic mothers and their babies, and arterial and neuropathic complications in the legs and feet.

In some respects it is unfortunate that the

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