EARLY DIAGNOSIS OF DIABETES MELLITUS

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Abstract
The importance of early diagnosis and institution of treatment of diabetes mellitus cannot be overemphasized. As was pointed out recently,1 "The insidious onset of the disease is the greatest handicap.... From every viewpoint—personal, community, economic and professional —it is urgent that unrecognized diabetes be discovered and medical care instituted." There is experimental evidence2 that pancreatic islet cells can regenerate and that early pathological changes in diabetes are reversible. The island cells of the diabetic pancreas are thought to be in a constant process of destruction and regeneration, with eventual dominance of the former. Thus the proper treatment of young persons with more resilient tissues may bring about appreciable regeneration of damaged island cells,3 and the importance of prompt discovery of diabetes becomes apparent. Unfortunately, although intensive management is most promising when begun at the onset of the disease,4 the treatment of diabetes is now too often

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