Diabetic Regimens — Procrustean Beds?

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Abstract
The isolation of insulin almost 50 years ago and its general availability soon thereafter raised high hopes that death and disability from diabetes mellitus would soon be of historic interest only. Certainly today we can correct the grosser aspects of disordered carbohydrate, fat and mineral metabolism.However, many a patient with juvenile diabetes, although saved by insulin and appropriate metabolic management from inanition, acidosis, coma and death, now suffers — after an average reprieve of 10 to 20 years — from the vascular and other accompaniments of his disease: retinitis, neuropathy and nephropathy. Despite our greatly improved understanding of the . . .

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