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January 1, 1949, Vol 139, No. 1 >
ARTICLE | January 1, 1949

FURTHERANCE OF TREATMENT OF DIABETES MELLITUS

ELLIOTT P. JOSLIN, M.D.
JAMA. 1949;139(1):1-7. doi:10.1001/jama.1949.02900180003001.
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DIABETES THEN AND NOW  Fifty years ago we struggled to keep patients alive, but now we strive to keep them healthy. Then two thirds (63.8 per cent) of our patients died of diabetic coma, but today death from coma is so rare (1.9 per cent) that a certificate with this diagnosis should attract the attention of the medical examiner. Then, few in the first thirty years of life lived long enough to die of arteriosclerosis, but now even up to the age of 40 this is the most prominent cause of death, and of our patients of all ages over two thirds (69.1 per cent) succumb to it. Yet during the first fifteen years of this century, we felt decidedly more hopeless when confronted with a case of diabetic coma than we do today with the problem of arteriosclerosis. Coma is distinctive of the diabetic person, but arteriosclerosis is fatal

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