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December 19, 1896


JAMA. 1896;XXVII(25):1280-1284. doi:10.1001/jama.1896.02431030016002e

The writer's views upon the systematic treatment of diabetes have undergone but little essential alterations since last published1 and therefore an extended or minute review of the subject is not here intended. The object of this paper is rather to call attention to some of the more common errors in the management of those abnormal conditions of the system of which glycosuria is the index. Our present resources for controlling or modifying glycosuria consist in the main of two measures, diet and medication, of which the former so vastly outranks the latter in efficiency that diet may be justly said to constitute our chief reliance. Just one hundred years ago John Rollo first emphasized the important fact that limitation of the carbohydrate foods constitute the chief, if not indeed the only trustworthy, means of controlling or modifying the excretion of sugar in the urine in diabetic states. Although the