A Survey of Present-Day Treatment of Diabetes Mellitus

Abstract

EXAMINATION of present-day therapy of diabetes mellitus reveals considerable lack of uniformity in both the aims and the clinical details of management, as expressed in current textbooks and literature. For example, an attempt to determine the proper aim of therapy by means of these sources yields a bewildering range of advice. One finds the more conservative writers advocating normoglycemic control^{1 2 3} or aglycosuria throughout the day, with normalization of only the fasting blood sugar.⁴ Still more liberal are the "middle-of-the-road" therapeutists, who allow moderate hyperglycemia and glycosuria.⁵ Finally, there are the most liberal, or free-diet, therapeutists, who disregard all but symptoms, . . .