The Practical Management of Diabetes

JAMA. 1954;154(14):1233. doi:10.1001/jama.1954.02940480085029.
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This monograph might well be subtitled "A Defense of Glycosuria." Its tone is set by the opening quotation from Auenbrugger (1760), which concludes: "... it has always been the fate of those who have illustrated or improved the arts and sciences by their discoveries, to be beset by envy, malice, hatred, detraction and calumny." The author's purpose is to present observations based on his 15 years of experience and his conclusion that hyperglycemia and glycosuria of almost any degree are harmless as long as the patient is free of symptoms and does not have acetonuria. The development of this concept and its practical application in treatment are described in some detail and illustrated by several case reports. There follow chapters on the intercurrent illness, surgery, acidosis, pregnancy, the lower extremity, insulin, and, finally, the question of whether the usual complications of diabetes are related to hyperglycemia and glycosuria. Since quantitative diets


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