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July 1, 1955

Simplified Diabetic Management.

AMA Arch Intern Med. 1955;96(1):135. doi:10.1001/archinte.1955.04430010149018

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Though rather detailed for a simplified text, this book presents much that is admirable in a philosophic approach to diabetes mellitus, but falls short of its title in some of the details of diabetic management.

The points on hygienic care, variation in the diet, and the degree of control are well taken. However, the use of a dietary pattern artificially contrived to a system of A and B units, instead of the more flexible American Diabetes Association plan which is available and has been accepted throughout the country, certainly is open to criticism. The diet prescription for the adolescent diabetic is somewhat distorted in proportions. In addition, the use of the 7/8 in. needle instead of the standard 5/8 or 1/2 in. needle, plus injection "almost parallel to the surface" is not advisable. Recent papers indicate that the perpendicular type of injection is associated with a lower incidence of local

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