It is undoubtedly true that the diabetic patient must be included among the bad risks in surgery, but is it not time for us to revise our estimate of the danger of operations to these patients? Our impressions are influenced too much by the results of surgery on diabetic patients previous to the work of Allen, Joslin and others. It should be remembered that our impressions are obtained largely from our experience with operations for carbuncles, gangrene and abdominal operations of dire necessity, and we should be well aware, from our experience with many other operative procedures, that the mortality in operations that are done only as a last resort is very high.
Those who gave special attention to diabetes deserve much credit for their treatment of surgical diabetes before the introduction of insulin, but their methods had not permeated very deeply into the profession. It has taken a great