The Treatment Diabetes Mellitus : With Observations Upon the Disease Based, Upon Thirteen Hundred Cases (Classic Reprint) by Elliott P Joslin
Excerpt from The Treatment Diabetes Mellitus: With Observations Upon the Disease Based, Upon Thirteen Hundred Cases
The more than kind reception accorded the first edition has led me to take even greater pains with the second. The book has therefore been largely rewritten, using as a basis the experience gained in another year of study of new and old diabetic cases. It is now possible to be more definite in describing treatment, and this is particularly true of what is written about acid poisoning. Today I can furnish facts in support of my practice of not giving alkalis in the presence of threatening coma. The advance in the treatment of diabetes, which began with the introduction of fasting by Dr. F. M. Allen, continues, and statistics are now available to show it. So-called acutely fatal diabetes is disappearing and the first year of diabetes is no longer, as was only too recently the case, the diabetic's danger zone. Already I have quite a series of patients who have outlived their normal expectation of life at the age of onset of their diabetes.
In the additional 120 pages and more of the new edition, for much in the former edition has been condensed, I have incorporated answers to questions raised by doctors and patients since the previous publication as well as the conceptions of diabetes now uppermost in my mind. With this end in view sixty-one of the original illustrative tables have been revised and others rearranged, fifty-nine new tables and ten illustrations have been inserted and a large amount of fresh material included. A Case Index to supplement the General Index and a record of the subsequent history of nearly all cases mentioned in the earlier edition increase the value of the volume.
In the United States there are, I suppose, not far from half a million individuals with diabetes or destined to have diabetes before they die. The care of them has devolved and will devolve almost wholly upon general practitioners. They are the officers who must train this diabetic army.
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