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April 16, 1887


JAMA. 1887;VIII(16):436-437. doi:10.1001/jama.1887.02391410016004

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Dr. Esbach, Chef of the Laboratory of Clinical Medicine at the Necker Hospital, has lately written an interesting Thèse on diabetes or glycosuria, which he describes to be a disorder of the assimilating functions, by virtue of which certain aliments which ought to be destroyed in the organism to be transformed into force and heat, pass through it without being utilized and are eliminated by the urine in the form of sugar. The author reserves the name of glycosuria (symptomatic diabetes) for cases in which the diabetes has not a special existence. Essential diabetes is, on the contrary, glycosuria which cannot be connected with a lesion, or with an anterior or existing malady.

Dr. Esbach describes diabetes as being composed of four principal elements in the static period, or, in other words, in a paroxysm of diabetes mellitus: 1. A nervous disorder, of divers origin, most frequently from some mental

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