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May 11, 1929

Die Stoffwechselkrankheiten in der Praxis.

JAMA. 1929;92(19):1625. doi:10.1001/jama.1929.02700450057040

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This short volume is given over mostly to a discussion of diabetes mellitus, and Umber's wide experience in this field has enabled him to write an unusually thorough, although concise, summary of present knowledge of this disease. The author believes that true diabetes is a pancreatic disease, but that the extra-insular types of diabetes mellitus are possibly explicable on the basis of such a theory as Loewi's glykamin concept. Synthalin is regarded as of limited value in treatment. In cases requiring large amounts of insulin, he has decreased the insulin dosage temporarily by partial substitution of synthalin, unless the use of the latter has been contraindicated by the side effects which this product frequently excites. In 5,000 cases of diabetes mellitus, Umber has seen nine recoveries. He points out clearly the need for blood sugar determinations, especially in order to differentiate the extra-insular types of diabetes from true diabetes. One

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