This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
As focal infection has assumed such a prominent rôle in the field of medicine, and as the ear, nose and throat are so frequently the site of the offending infection, their importance as etiologic factors in diabetes cannot be overrated, especially since they influence the general condition of the patient. It has frequently been observed that the response of a diabetic patient to a dietetic or insulin regimen is never as good in the presence of infection. The tendency toward acidosis is especially pronounced, and it is a matter of everyday observation during the preinsulin period that acidosis progressing to death not infrequently occurs during the lighting up of an acute process. Woodyatt, Allen, von Noorden and Wilder have stressed the importance of focal infection residing in the teeth, tonsils and paranasal sinuses. Their collective opinion, based on their large clinical experience, is that these infections have a