The Medical Clinics of North America, Vol. 6

Book excerpt: Excerpt from The Medical Clinics of North America, Vol. 6: November, 1922 The published record extended to June, 1917. The weight was then kg. (100 pounds). The diet had never averaged higher than 70 gm. Protein, 10 gm. Carbohydrate, and 1500 calories. During his entire time at home the patient had carried on his regular business with only six days' total absence on account of colds. This same condition continues today. Glycosuria and aci dosis remain continuously absent. Slight hyperglycemia has been the rule rather than the exception, but it is permissible in a case of this type because the age involves less tendency to progressiveness than in younger persons and children. Inherent non-progressiveness of the condition cannot be assumed as an explanation of the good result or an excuse for the high mortality among adults with Similar or milder cases on excessive diets in this series. We have here a decisive contrast between two periods: first, eight years with active symptoms and extreme downward progress; second, eight years on reduced diet with out symptoms and without downward progress. The case is still severe and the tolerance low. It is known that diabetes is hardest to control in the severe stage. What has been aecom plished for this patient can be accomplished for all patients Of this type, granted fidelity to diet and the absence Of any unusual complications. With milder cases the results are correspondingly easier and better. For typical patients of this age or Older the question of spontaneous downward progress is definitely decided in the negative. The second case was No. 66 in the Rockefeller Institute series. This girl was received for treatment in March, 1916. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.