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October 26, 1940

DIABETES

JAMA. 1940;115(17):1474-1475. doi:10.1001/jama.1940.02810430064026

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Abstract

To the Editor:—  In your issue of September 21, Dr. Joslin and his associates have patiently repeated some of the decisive reasons against lax diabetic treatment. Immediately after the discovery of insulin came the first pseudoscientific suggestion of giving enough insulin to provide for metabolism of a requisite amount of food and then letting the patient eat freely without regard to glycosuria or hyperglycemia. I long ago gave up arguments over the persistent repetitions of this error, according to the advice in Proverbs 27:22. As so much of human life and disability are involved, perhaps Dr. Joslin's warning may be reinforced by two summarized case records:

  1. A woman aged 55, first seen in 1925, had diabetes, obesity, goiter, hypertension, arteriosclerosis and myocardial degeneration. Diabetes was controlled by reduction of weight from 160 to 140 pounds (from 72.6 to 63.5 Kg.). After five years, onset of hyperthyroidism caused loss of

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