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Undiagnosed Diabetes

Richard P. Shapiro, M.D.
JAMA. 1961;176(12):1054. doi:10.1001/jama.1961.03040250080030.
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To the Editor:—  In reference to a question on undiagnosed diabetes, appearing in the Question and Answer section of The Journal (175:1115 [March 25] 1961), I would like to comment:

  1. There are many dangers in losing weight when an obese individual, especially an undiagnosed diabetic, treats himself either with or without a commercially prepared 900-calorie diet. The only safe dictum is: When a person needs a diet, that person needs a doctor.

  2. The statement in Dr. Marble's answer, "In fact, the diabetic condition of a large percentage of persons with onset of diabetes above the age of 45 or 50 years can be controlled solely by restriction of carbohydrates and total calories, with reduction of weight to a level which is desirable for age and height," is only partially correct. A more accurate statement is for age, height, and bone structure, as there is often a difference


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