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October 27, 1900


JAMA. 1900;XXXV(17):1090-1091. doi:10.1001/jama.1900.02460430026002

There are few diseases that have been more thoroughly studied than diabetes, and, while there has been a gradual and progressive expansion of our knowledge on this subject, the condition is still surrounded with not a little obscurity and the exact mechanism of its occurrence is not yet understood. That it is a morbid perversion of metabolism is generally agreed, as it is also that the most powerful therapeutic influence is dietetic; but we can not for the present go further than the statement that the disorder represents a defect in carbohydrate-assimilation. In a recent thoughtful paper, F. W. Pavy,1 who has made important contributions to our knowledge on this subject, discusses some phases of differentiation in diabetes. To cases in which the sugar eliminated with the urine is derived solely from the food, he applies the designation alimentary diabetes. The carbohydrate matter of the food fails to be