Diabetes : $b Its cause and its treatment with insulin — John Shaqi
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
_Books on diabetes for patients._--Doctor Joslin’s “Diabetic Manual,”
Lea and Febiger, is one of these. Doctor Petty’s “Diabetes, Its
Treatment by Insulin and Diet,” F. A. Davis Company, Philadelphia,
is another. Wilder, Foley and Ellithorpe’s “A Primer for Diabetic
Patients,” W. B. Saunders Company, Philadelphia, may be consulted for
more complete descriptions of the methods employed in the Mayo Clinic
than can be given here.
_Patients must be trained._--The results of accurate management are so
encouraging that they are almost as good as cures. They are not cures,
because the fundamental island weakness is rarely if ever completely
corrected, and treatment must continue for month after month. Success,
therefore, rests largely in the patient’s hands and the doctors’ most
important task is teaching the patient all that he can be taught about
his diet and about the use of insulin. The books mentioned were written
to help in this training of patients. In various clinics over the
country, patients attend classes and are instructed in the subject of
dietetics until they can weigh food and plan meals accurately so that
each will contain a set number of calories and yield to the metabolism
a predetermined amount of sugar. The hospital management of a case of
diabetes is not complete until the patient can live a healthy life
in spite of his disease. He may arrive at the hospital in a state of
coma and be dragged from the very jaws of death with insulin, but
afterwards, when he goes home, unless he has learned how to continue
the use of insulin and combine with it an accurate diet, he will slip
again into the same dangerous predicament.
It is best always to start treatment in a hospital where a systematic
course of instruction can be obtained. Unfortunately, we have no
schools for diabetic patients other than the hospitals, and some
persons dislike hospitals. Good results can be obtained at home,
provided one has the good fortune to consult a physician who will take
the time to give this training. What are the essentials?
_What the patient must know._--First, a knowledge of how to read
food tables and, with their aid, to plan accurate diets. Food tables
are lists of foods showing the composition of each, in protein,
carbohydrate and fat. The books mentioned here all contain such
lists. The most complete table is that published by the United States
Department of Agriculture, Bulletin No. 28, “The Chemical Composition
of American Food Materials,” a pamphlet that may be had from the
Superintendent of Documents, Government Printing Office, Washington,
D. C., for the small sum of ten cents.
Second, instruction in the manner of injecting insulin, that is, in
the use of the hypodermic syringe. Insulin, as has been stated, must
be given hypodermically, under the skin. The technic is not difficult,
but sterile precautions must be observed in order to avoid introducing
disease germs with the insulin.
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