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June 1961

Diabetic Care in Pictures

Arch Intern Med. 1961;107(6):954-955. doi:10.1001/archinte.1961.03620060154021

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You may have read about Jeremiah Glum, of East Cupcake, Iowa. He has diabetes. In 1951, he left our hospital superbly regulated and painstakingly instructed. He returned to the Out-Clinic a week later, complaining bitterly of seven subcutaneous abscesses. The abscesses puzzled us, but eventually we discovered their cause. The patient had tested the urine four times daily by boiling 5 ml. of urine with 8 drops of insulin, and had injected 20 units of Benedict's solution subcutaneously half an hour before breakfast daily. This apocryphal story stems, so far as I know, from the 1920's, but it emphasizes my theme, which is that many diabetics appear to have been poorly instructed and that what's past is prologue. Regulation does not connote simply the negative virtues of an orthodox doctrinal theology, but has meaning because a number of studies have suggested that good control favors a longer and healthier life

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