Diabetes : $b Its cause and its treatment with insulinWilder, Russell M. (Russell Morse)
Science
Diabetes : $b Its cause and its treatment with insulin
Wilder, Russell M. (Russell Morse)
Diabetes; Insulin
It was described by Aretaeus, a Greek who lived in the third century,
A.D., and hundreds of scientists have worked steadily on the problem
ever since that time. Indeed the history of the discovery of insulin is
typical of all great medical discoveries of modern times. It represents
the summation of a vast amount of knowledge contributed bit by bit
by scientists all over the world. When Banting conceived his idea,
he took it to Dr. MacLeod, director of physiologic research in the
University of Toronto. Professor MacLeod, seeing the possibilities in
the investigation, gave him opportunity to work, and provided him with
a young assistant, Dr. C. H. Best. The particular problem on which
they were to work was the extraction from the pancreas of another
secretion, an internal secretion, not poured by the pancreas through a
special duct into any other organ or to the exterior, but going instead
into the blood stream.
_Pancreas yields substance._--Previous investigations had indicated
that this secretion was manufactured in the Islands of Langerhans.
It was known that when the tube which carries the external
secretion--trypsin--was tied, the trypsin would back up into the
pancreas, and by its digestive action would destroy the glandular
tissue, leaving an organ which consisted chiefly of island tissue.
The investigators did such an operation on a dog. It was also known
that an animal might be made diabetic by removing the pancreas; this
operation was performed on another dog. Then, when sufficient time
had elapsed to permit the breaking down of the pancreas in the first
animal, it was painlessly chloroformed, the pancreas removed and an
extract made from it. The extract consisted chiefly of island tissue,
and this extract was injected into the diabetic dog. The result was the
discovery that such injections produced a lower amount of sugar in the
dog’s blood and in its urine. This and similar experiments established
positively the fact that there was present within the pancreas, and
quite certainly in the island tissue chiefly, some substance, not
available in the body of the diabetic, which was capable of meeting a
deficiency and aiding the diabetic to make proper use of sugar.
_Drug dosage and animal experiments._--It now became necessary to
devise a method of obtaining the extract in such form as to permit
injections into the human being without danger from poisoning by
extraneous and unnecessary substances, in other words, a pure product.
It also became necessary to devise a method for measuring the dose to
be given. How many persons who receive a dose of a medicine realize
the amount of investigation necessary to determine these factors? It
is necessary to test the effects of a drug on animals before it can be
tried on the human being, and it is necessary to study very carefully
the changes in the body following the administration of the drug, in
order to be certain that no undesirable actions occur.
Public-domain text, read in full here on John Shaqi.
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