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April 30, 1927


JAMA. 1927;88(18):1437-1438. doi:10.1001/jama.1927.02680440071036

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To the Editor:  —A correspondent (The Journal, January 8, p. 121) inquires about the significance of high blood sugar without glycosuria. The reply seems conservative if not informative. These cases are not infrequent, and they are more often in the older diabetic patients and the cases associated with nephritis and hypertension. A recent patient of mine had supposed her condition satisfactory from the fact that the urine, which formerly contained sugar, had been sugar free the past two years. Her fasting blood sugar was over 200, and she was confined to bed with so-called rheumatic aches and pains and stiffness for six months. Her carbohydrates were reduced to 100 Gm. but without effect on the blood sugar or the clinical condition. Insulin was then given up to 20 units three times a day until her blood sugar was driven down to 100 fasting. Since then her aches and pains have

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