Show DIABETES MELLITUS ile ho farst observed that he was very thirsty that ho he drank largo large quantities of water and mado made largo large quantities of urine there was a great uneasiness about the stomach with a gerpe perpetual gnawing sense of hunger ile ho lost strength and flesh this Is from the classical description ot of tho the of dr nathan S symptoms diabetes mol mellitus litus davis ill III given by matthew dobson who in 1772 proved that the urine which had long been known to bo be sweet to tho the taste contained sug nr it Is one of the oldest known diseases having been mentioned in the ebers papyrus which was written about 1600 D B C its name Is from either cither tho the greek word tor for sy phon or from one meaning to go through yet it kasnot until some conw SO 50 years ago that it became known that din diabetes betes mellitus was due to disease of the pa pancreas while it had been bee n suggested in 1010 1910 it was not until 1021 1921 when banting and best working in the laboratory of prof J J R macleod in toronto discovered insulin that it I 1 was proven to be duo due to a decreased formation of tho the internal secretion of that gland prior to that time there had been some ome success in treating tho the disease by diets low in carbohydrate that DEATHS FROM PNEUMONIA IN HILDREN CHILDREN 29 1926 1939 40 10 I 1 t 03 AW 12 1 2 0 ra TOTAL Is in sugar and starches but in the more severe cases restriction restriction of the diet was so great that the patient suffered from starvation almost as much as from the uncontrolled disease in the more mild cases the management by dietary restriction of sugars and starches continues to be the best but can only be used when the patient can tolerate enough carbohydrate to permit a diet containing his calorie caloric requirements quire ments with the tha discovery of insulin and more recently of its modifications with more enduring effects it became possible with the aid of largo large enough doses of these drugs which must bo be administered tic ally tor for any diabetic to utilize the amount of sugar and starch in fit a normal diet before the advent of insulin diabetics lived for only a few years and usually died of acidosis or coma caused by the disease or as a result ot of pus infections that spread rapidly today these complications are unusual and relatively few die as a result ot of the disease itself now tho the deaths are most often due to the formation of clots blots in the hardened arteries of the heart brain legs or feet such hardening of the arteries arterie s la more colemon and develops car earlier in diabetics it interferes with the circulation and often causes extensive clots blots and gangrene after a 5 a toe or or after an insignificant infection on these parts diabetes mellitus Is a aisea disease se the management of which requires the fullest operation cooperation co of the patient ills tolerance for starches and sugars is determined a proper diet plus such insulin as may be required Is prescribed and its ealic efficacy acy tested then the patient is taught all about the disease its complications and how to avoid or treat them as the case may be is taught how to figure and weigh his diet that it IL may inay contain a maximum variety of foods and yet have the same amounts of carbohydrate protein and fat to test the urine for sugar at and id for bodies APHORISM the poor ol of course do not suffer more from disease than the rich because they have less cash in their pockets but only in so jar far as they are deprived of the necessities of life dr max von van Petten koler in 1873 I 1 QUESTION BOX send questions question to or dr nathan S davis ur III winnetka III enclose a selfa self a addressed 81 stamped t m ped envelope Q what arc re the causes of blisters on the tongue Is there any good local treatment for them nu 1113 A bancker sores or biting tongue no Q where imore a person does not drink milk would you advise supplementing the diet with any calcium F M A supplementing the diet with clayese will vm usually suf suffice flee it if this can not be tolerated either it is sometimes advisable |