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March 1925


Author Affiliations

From the Wards of the Hospital for Sick Children, Toronto, and the Subdepartment of Pediatrics, University of Toronto.

Am J Dis Child. 1925;29(3):329-346. doi:10.1001/archpedi.1925.04120270030004

A survey of the literature on diabetes reveals that scant attention has been paid to juvenile diabetes, as such. In the past, this has been due in part to the reputed rarity of the condition and in part to the notoriously bad prognosis warranted in most cases. This latter factor has caused many authorities, including Von Noorden, to consider downward progress as so inevitable that the necessary harsh restrictions of treatment were unjustifiable. Indeed, it was not until 1914, when Allen1 elaborated his system of treatment that a happier outcome was shown to be possible.

The indications for treatment in children are the same as in adults, only more urgent, because of the acute nature of the disease in the young. Functional rest for the pancreas, to allow of all possible recovery, as provided by suitable dietetic measures, or by these plus adequate insulin is the essential part of

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