Show I I I CAREFUL CAREFUL- DIET DI T ESSENTIAL TO I USE USE OF OP INSULIN I I NEW YORK Nov 24 By A A. P P. In In an article in the current issue I of tho the Journal of oC the tho American Medical association Dr Frederick M r. Allen AHen director of ot the I institute Morristown N. N J J. gives gives' an authoritative review of the treatment treatment treat treat- ment of diabetes with Insulin based on its use at the institute for or a period period period pe pe- of more moro thap than a y year ar or since the discovery of ot insulin by Dr Frederick derick G. G Banting and his as as- Tho The impression has gained much headway with the public during the past y year ar according to Dr Allen Alien that insulin Is a cure cur for tor or diabetes and that regulation of diet is not necessary This Is far from the tho I truth The use of insulin without a regulated diet is a a. dangerous er error er- er Continuing Dr Allen writes The purpose of insulin treatment I er-I is to Improve the nutrition of patients patients patients pa pa- with severe diabetes and to add a safeguard against downward I progress Mild cases which can be kept symptom symptom free free on adequate I II diets or ordinarily do not require in- in j I I sulin Insulin does not offer otter a cure I of diabetes or a license for tor carelessness careless careless- ness ne' ne Tile fie insulin treatment should be beI carried out in conjunction with accurate accurate ac- ac curate curato diets under laboratory control control control con con- I to assure that patients remain sugar tree free It involves es the tho inconvenience inconvenience inconvenience incon incon- of frequent subcutaneous injections and other disadvantages does not simplify diabetic treatment or methods and is not the final step in diabetic re research re- re search Nevertheless s. s this discovery discovery discovery ery of Dr Dt- Banting Danting and his associates associates ates is tU first replacement of negative negative negative neg neg- by positive therapy in dia dIa- betes It affords tho the possibility of ot relegating emaciation progressiveness progressive- progressive I ness acidosis and most of the ills dis disabilities abilities and fatalities of or diabetes to It th therefore stands as aslone I Ione one of ot the tho greatest achievements of ot medicine for the relief relict of or human I suffering Its theoretical and Indirect Indirect Indi Indi- I consequences may ultimately outweigh the immediato and practical practical practical ones Insulin must nearly always alwa's box be injected by tho patient or some member of the hous household hold since the tho I ph physician can seldom spare the tune time and few Cew persons can afford the continuous service of a nurse Patients Patients Patients Pa Pa- have experienced no difficulty difficulty culty cUlly in ht learning the hypodermic I technique and somewhat to our surprise not a single one even I among th the tho ignorant has produced produced an Rn Th The frequency of the j I injections which at 1 first rat thought I seems formidable Chas has likewise I proved compatible with the living I anti and habits of or all alland patients I and is a trivial price to pay for Cor the Improvement ement of health I Hypo hypoglycemia oas lose of or sugar in inthe tho the blood la is ordinarily emphasized r ns nit the chief danger Bang and the tho reason I Ifor for allowing more morer more r r less i presence of ot sugar augar In ih blood i but properly prepared patients can n readily avoid both these theRe extremes or can take take a a. little orange juke Juice 01 or augur If It theY ever er experience the I warning symptoms of or weakness J tremulousness and perspiration Vc Yo instruct every eer patient pl to carry It a aone a of ot powdered glucose gio- gio one one ouno ounce package cose cOile for far emergency purposes purpose This I is ill convenient and less leM of a tempt i- i tion tints than candy or other food I Now ow that there J J. J an abundant supply of or insulin and sufficient e e- in Us its use UI we 1 find two tr to four weeks to bo hI about th the average a duration of or Institutional treatment required for cave raio HC This Titis institutional care cart j i ihl the hl study tudy 1 of or the tho 1 needs pf f diet and ind dosage and the tri training or of the iho patient 1 in iii both hoth th the the- i ph l I I Isom I som som hit hH t moro imp 1111 tt 1 I n- n SI i U titan than Iii r th the f i 1 IK 1 tl tit t e it It- It t nn 11 ni ni nt l IJ diet i t alone |