0
ARTICLE |

Glucose Tolerance and "Dumping" Syndrome

Hans N. Naumann, MD
JAMA. 1966;195(8):700-701. doi:10.1001/jama.1966.03100080140053.
Text Size: A A A
Published online

ABSTRACT

To the Editor:—  On occasion of the recent "Diabetes Week" (JAMA194:664, 1965) with emphasis on laboratory diagnosis, it may be timely to caution that the traditional glucose tolerance test routinely performed in doubtful cases of diabetes may not always be an entirely harmless procedure. With greater numbers of gastrectomized individuals at large, there are increasing chances of precipitating "dumping" syndromes after the drinking of highly concentrated glucose solutions which may pass rapidly through potential gastric stumps and stomata into the small intestines. Since 5% solution of glucose is isotonic (more precisely, 5.43% of —0.56 C freezing point identical with that of serum and yielding 302 mOsm/liter [JAMA192:1112; 194:471,1965] ), it follows that the conventional 100-gm dose dissolved in about 200 ml must be diluted with nearly 2 liters of water in order to lower the osmolarity to isotonic level. Thus, grossly hypertonic glucose within the intestinal

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();