Diabetes mellitus: its pathological chemistry and treatment / by Carl von Noorden ; authorized translation under the direction of Boardman Reed ; translated by Florence Buchanan and I. Walker Hall.

  • Noorden, Carl von, 1833-1883.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Diabetes mellitus: its pathological chemistry and treatment / by Carl von Noorden ; authorized translation under the direction of Boardman Reed ; translated by Florence Buchanan and I. Walker Hall. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    66/220 (page 62)
    My Opinion that these are obese people who are theoretically already diabetic before they begin to ex- crete sugar, is supported by observations upon patients which I communicated to the Congress fiir innere Medicin ten years ago. Certain of such people, in whom obesity was a hereditary family characteristic, although they could metabolise very large quantities of starch, exhibited marked alimentary glycosuria after lOO grammes of glucose. As I thought likely at the time, and as I have elsewhere recently communicated, a few of the then-mentioned obese patients have since become really diabetic. It is advisable therefore to test the urine of obese people from time to time for alimen- tary glycosuria, in order to recognise in good time any tendency to diabetes, and thus by immediate regulation of the diet to afford real assistance to the patient, savhig him perhaps from a later attack of diabetes. (d) Pathological Processes in the Pancreas Itself.— Although we cannot as yet obtain a clear insight into the disturbing processes to which the metabolism of carbohydrates is exposed in the tissues after removal of the pancreas, the line in which future researches must be carried on is pretty clearly indicated. The methods of the unravelling of the processes which take place in the pancreas are far less intelligible. The numerous post-mortem examinations which have been made since the discovery of experimental pancreas diabetes show, it is true, that no organ of the body of a diabetic so frequently exhibits anatomical altera- tions as the pancreas, simple atrophy and sclerosis of