This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

L. H. NEWBURGH, M.D.; PHIL L. MARSH, M.D.

Arch Intern Med. 1923;31(4):455-490.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

INTRODUCTION

During the early part of this century it was customary to use a very liberal protein fat diet in the treatment of diabetes mellitus. This type of diet was characterized by its high protein content, its relative poverty of carbohydrate and its high caloric value. Mild diabetics did quite well on such a regimen, but the more severely ill patients did not tolerate it without glycosuria and the persistence of diabetic symptoms, and, as pointed out by Joslin, coma was so common that the percentage of deaths in hospitals was greater than in homes. It was necessary to conceive of a mysterious "spontaneous downward progress" to explain the constant loss of tolerance in these cases, and the majority of physicians felt that treatment of the severe cases was a waste of time and energy. This type of diet is not by any means without its supporters today, and it . . . [Full Text PDF of this Article]

Author Affiliations
ANN ARBOR, MICH.

From the Department of Internal Medicine, Medical School, University of Michigan.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?