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September 5, 1936


JAMA. 1936;107(10):768-770. doi:10.1001/jama.1936.02770360014005

Recent progress in the treatment of diabetes mellitus has done much to increase the life expectancy and happiness of the patient. It has also increased and complicated the difficulties and responsibilities of the physician, who now, besides watching diet, urines and blood sugars must decide whether or not to give insulin, whether to use the common brands of insulin or a new, more slowly acting insulin, when to give the injections, how much to prescribe and how to prevent and treat reactions. He must guard against undue optimism on his own part and on the part of the patient, who often regards insulin as a diabetic panacea and forgets that diabetic complications are more frequent than before and that hypoglycemic reactions and "sugar spills" are still to be reckoned with. It has been the aim of this study to emphasize certain of these problems in the management of the diabetic

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