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Article
November 1915

CARBOHYDRATE UTILIZATION IN DIABETES: BASED ON STUDIES OF THE RESPIRATION, URINE AND BLOOD

Author Affiliations

BOSTON

From the Nutrition Laboratory of the Carnegie Institution of Washington, Boston.

Arch Intern Med (Chic). 1915;XVI(5):693-732. doi:10.1001/archinte.1915.00080050002001
Abstract

In the classical work of Naunyn1 on diabetes mellitus occurs the following passage : "In general, even in severe diabetes, at least in man, the carbohydrates ingested are not completely excreted in the urine again as sugar. A portion of the starch, as well as of the dextrose, will be burned in the organism." This view was also shared by Kulz. Naunyn, however, refers to a case in which von Mering records an excretion of all the sugar ingested, and attention is called in the report of the cases of Kulz to four instances in which apparently a similar condition existed.

Von Noorden2 defines diabetes as "a disease in which the capability of the organism adequately to burn grape sugar is pathologically lowered," and in another place3 he says : "One cannot help thinking that, in man, even when death has resulted from coma, the

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