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November 1942


Author Affiliations

From the Department of Pediatrics, State University of Iowa.

Am J Dis Child. 1942;64(5):807-814. doi:10.1001/archpedi.1942.02010110039004

The type of diet with respect to the relative amounts of fat and carbohydrate best suited for patients with diabetes mellitus has been of interest to all investigators in this field of medicine. Before the discovery of insulin, alterations of the diet were practically the only therapeutic approach in the treatment of the disease. Since 1922 there has been a gradual transition toward the use of a more normal diet. There are, however, differences of opinion regarding the type of diet to be employed. Numerous investigators have shown that the relative amounts of fat and carbohydrate influence the response of patients with diabetes mellitus, particularly the patients with uncontrolled diabetes mellitus or with mild diabetes mellitus not receiving insulin. Nelson and Ward reviewed the literature and presented data to show that there is a fairly wide range within which the dietary allowance of children with diabetes mellitus may be varied

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