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November 14, 1959

Diabetic Manual for the Patient

JAMA. 1959;171(11):1623. doi:10.1001/jama.1959.03010290181036

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Now in its 10th edition, this is the oldest and best known of the many popular manuals for the guidance of diabetic patients and their families. The first edition appeared in 1918, so this manual has been frequently and continuously revised for more than 40 years. Its author has observed and treated diabetic patients for more than 60 years. As with all other forms of teaching by this well-known group of physicians, the underlying theme of the manual is firm insistence on prevention of abnormal hyperglycemia and glycosuria by means of quantitative diet, insulin (or in certain cases orally given hypoglycemic compounds), and exercise. The author favors insulin over orally given agents and restricts the use of the latter to tolbutamide, but approves of the use of several other orally given compounds by members of the staff. The prevention and management of common complications are stressed, and various psychological, habitual,

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