Some Practical Considerations in Diabetes Mellitus
Diabetes no longer presents the economic problem that it has in the past. Before the era of insulin, diabetic patients were a great liability. Usually patients with severe diabetes were a hopeless burden to their families or to their communities. Those of you who have treated diabetics for as long as 11 years, know well the problems that severe diabetes presented. Treatment by starvation, the only method available in those days, was anything but pleasant for the physician, as well as for the patient.
Today in this country there are nearly two million patients with diabetes in various degrees of severity. They are no longer a great liability, but, for the most part a definite asset to society. A diabetic patient no longer has to starve himself, he no longer has a dreary outlook on life’s progress, he no longer has the fear of early death. Quite the contrary, he may have a liberal diet, his outlook on life is cheerful, he accomplishes as much, if not more, than the fellow who has no diabetes, and, as has been shown by statistics, his life span is longer than that of persons without diabetes. In the history of medical diseases the chapter of diabetes reads like a fairy tale. Such rapid progress seems almost unbelievable.
The routine treatment of diabetes is so well known and so well standardized, that I shall spend no time discussing it. The basic principles of the regimen are described in any standard work on medicine. A. . .