Vital statistics in recent years show a distinct increase in the death-rate from diabetes mellitus. Statistics showed that the average death-rate in this country was considerably below that of other countries, but it is now approaching the foreign mortality figures. As a rule, this increase in the mortality is not considered significant of an actual increase in the frequency of the disease, but as a result of better methods of diagnosis, fewer cases of diabetes escaping recognition. The terminal stage of diabetes in the past has not infrequently masqueraded under the cloak of tuberculosis, or, that common sequela of continued glycosuria, nephritis.
The most prominent clinical feature of diabetes is the manifold differences that exist between different cases of the disease, so that the conclusion is reached that these distinct types of the disease must have dissimilar pathological bases. This thought is confirmed by many clinicians. Lauder Brunton1 says
DIABETES AS A MANIFOLD DISEASE. JAMA. 1902;XXXVIII(6):402. doi:10.1001/jama.1902.02480060040004
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