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February 1940


Author Affiliations

From the Department of Pediatrics, State University of Iowa.

Am J Dis Child. 1940;59(2):332-341. doi:10.1001/archpedi.1940.01990130115008

The difficulties encountered in treating diabetes mellitus in the child or the young adult are so numerous that often the disease is inadequately managed. The disadvantages of incomplete control are not immediately apparent, but it is unreasonable to think that a poorly controlled patient will do as well as one whose metabolism is as nearly normal as treatment will permit.1 This report deals with a regimen of control which is designed to approximate normal conditions of metabolism and with the typical response of children who have been treated in accordance with that regimen.

Of a group of 131 diabetic children under active management, 53 have been studied for an aggregate of more than three thousand days in the hospital during the past three years. Each of these responded to treatment in a similar manner. The records of 27 of these patients were found especially adaptable to statistical analysis because

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