Congratulations on a Useful Article

PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 387-387
Author(s):  
George M. Johnson

Forman, Goldstein and Gonel are to be congratulated for their important, succinct paper, "Management of Juvenile Diabetes Mellitus: Usefulness of 24-Hour Fractional Quantitative Urine Glucose" (Pediatrics, 53:257, 1974). For the past five years, on the recommendation of Dr. Donnell B. Etzwiler, we have followed approximately 60 juvenile diabetics using fractional quantitative 24-hour urine glucose values (obtained three or four times a year). As the authors point out, it is unfortunate and often detrimental to the juvenile diabetic that this simple inexpensive test has not gained wide clinical acceptance or even consideration by the physician caring for the juvenile diabetic.

PEDIATRICS ◽  
1974 ◽  
Vol 53 (2) ◽  
pp. 257-263
Author(s):  
Barr H. Forman ◽  
Paul S. Goldstein ◽  
Myron Genel

The use of quantitative urine glucose determinations permits accurate assessment of glucose homeostasis in diabetic children. Four specimens from a representative 24-hour period are collected, generally from 8 AM to noon, noon to 4 PM, 4 PM to 8 PM, and 8 PM to 8 AM and measured for total glucose excreted. When performed on an ambulatory basis, this test best reflects actual conditions the child faces each day and takes into account time, dose and type of insulin adminstered as well as diet, activity and stress. The test is inexpensive, easily performed and allows the physician to make rational changes in therapy. Children are usually cooperative and can understand what the actual amount of glucose spilled represents in terms of calories lost and total control. In those children in whom increases in NPH would be made to achieve better nighttime coverage, afternoon hypoglycemia can be prevented by changing to a combination of semilente and ultralente insulins without fear of long-acting insulin effect.


PEDIATRICS ◽  
1973 ◽  
Vol 51 (1) ◽  
pp. 162-162
Author(s):  
J. Chukwuemeka Azubuike

Dr. Traisman assumes complete responsibility for the second edition of this book; the first edition with Dr. Newcomb as co-author was published in 1965. About 70 pages have been added because of the inclusion of a few new chapters; these deal with the pathogenesis of diabetes mellitus, transplantation of the pancreas for this disease, the psychologic aspects of diabetes, and with hypoglycemia. The latter two chapters are most welcome in this day and age when medical progress is helping to prolong the lives of juvenile diabetics.


Diabetes ◽  
1976 ◽  
Vol 25 (5) ◽  
pp. 420-427 ◽  
Author(s):  
F. M. Bomback ◽  
S. Nakagawa ◽  
S. Kumin ◽  
H. M. Nitowsky

1971 ◽  
Vol 10 (7) ◽  
pp. 385-391
Author(s):  
Joseph B. Warshaw ◽  
Melvin Levine ◽  
Vera Hyman ◽  
John D. Crawford

PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 830-830
Author(s):  
T. E. C.

Abraham Jacobi (1830-1919) was the first in the United States to specialize in the teaching of pediatrics. In 1862 he founded the first pediatric clinic in New York City. Probably no other pediatrician in America had a greater influence than Jacobi on the development of American pediatrics. This is how Jacobi treated juvenile diabetes mellitus 80 years ago and 26 years before Banting and Best had isolated insulin. ... The disease runs a more rapid course in infants and children than in adults, and terminates more readily in coma and death. Therefore the treatment must be enforced. Fortunately, the young, with very rare exceptions, are apt to live on milk mostly. Thus less difficulties are encountered in them than in adults. For these also milk, skimmed or not, forms a principal and beneficial part of their nutriment. The medicinal treatment of the young requires some modifications. The facility with which cerebral symptoms ("coma") are developed, renders the persistent use of alkalies advisable (mineral waters), and forbids the use of opium. lodoform, which I have seen to render fair service in adults, in daily doses of from ten to twenty grains internally, is seldom tolerated by the young, even in proportionately small doses. Arsenic may be given in increasing doses a long time, the bromide as well as other preparations, one drop and more of Fowler's solution [potassium arsenite], largely diluted, after meals, three times daily, the dose to be increased gradually until doses of from two to four drops are taken.


1979 ◽  
Vol 13 (10) ◽  
pp. 1190-1190
Author(s):  
T Foley ◽  
D Becker ◽  
D Postellon ◽  
D Daneman ◽  
E Tsalikian ◽  
...  

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