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July 1, 1983

Diabetes Mellitus and Obesity

Author Affiliations

St Francis Hospital Milwaukee

JAMA. 1983;250(1):89-90. doi:10.1001/jama.1983.03340010069038

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One of the most hopeful aspects of therapy for diabetics in the modern era is that vascular, neural, and renal complications can be reversed or prevented by improved use of insulin. To integrate the insulin hormonal signal into the multitude of other metabolic, hormonal, and nutritional events that occur in a broad spectrum of patients, the clinician must be aware of many facets of biochemistry, pathophysiology, nutrition, and sociology among diabetic patients. To address this area, the editors have assembled 88 chapters written by 136 internationally known authorities to provide a comprehensive reference textbook. The majority of diabetic patients have a "Type II" clinical pattern, with a high incidence of obesity, insulin resistance, and atherosclerosis manifested by coronary, cerebrovascular, and peripheral vascular disease. For this reason, the emphasis of this treatise is on the relationships between diabetes and obesity at various levels of analysis.

The editors have attempted to provide