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August 1929


Author Affiliations

From the Department of Pediatrics, Mount Sinai Hospital.

Am J Dis Child. 1929;38(2):323-327. doi:10.1001/archpedi.1929.01930080099010

The physician who treats diabetic children today aims to have them reach adult life with as good physical development as possible. They should be able to carry on their daily life like normal children of their own age.

Before the discovery of insulin and for a period afterward, many authors stressed the importance of keeping diabetic children entirely sugar-free. While one still attempts to keep them sugar-free, one may in so doing defeat the primary purpose, namely, the production of normal growth and development. In other words, in attempting to keep the urine entirely sugar-free one may be forced to prescribe a low caloric diet which is not compatible with normal gains in weight and height. By increasing the diet and dosage of insulin, a child may develop glycosuria some time during the twenty-four hours, yet, in spite of the glycosuria, gain in height and weight. Thus the presence of

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