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February 1960

Diabetic Neuritis (Neuropathy)

AMA Arch Neurol. 1960;2(2):211-212. doi:10.1001/archneur.1960.03840080097014

It is disheartening again and again to bump into a lighthearted and somewhat mesmeric statement to the effect that "control" of the diabetic state will in some manner prevent or ameliorate diabetic neuritis (neuropathy) and lack of "control" foster it. The main objection to this hypothesis is that, while everybody seems to know what "control" of diabetes mellitus is, no one is able to define it. An inquiry concerning this definition made of a neurologist subscribing to the "control" thesis elicited the statement that he had, perhaps somewhat arbitrarily, fixed the maximum blood sugar level at 150 mg. % two hours after the last meal, any figure above this being regarded as abnormal and calling for more insulin. This rule of thumb begs the fundamental question of the method used to determine the blood sugar; the values derived from method to method are quite variable. The glucose-oxidase method may yield blood

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