Vol. 60, 1909 - University of North Carolina at Chapel Hill

XXVIII
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ADVERTISEMENTS.
described as having been occasioned by the suria it is desirable that the mode of life,
conjuctival reaction, were in no case ob- diet, etc., should be carefully considered
served. and regulated, with the object of prevent-
M Calmette's and Hochst's tuberculin f.re
inconstaut and much too strong. The author
advises the use of Koch's old tubercuing,
if possible, the affection from develop-
ing into a severe form of diabetes. Many
cases of slight or temporary olycosuria delin
in one-per-ceiit or at most two-percent velop, in course of time, into severe diabetes;
solution. Any irritant condition of the cor- but it is important to remember that this is
nea is an absolute contraindication. Sim- nor always the case, and, both in the young
pie chronic conjunctivitis was never made and the old, a slight glycosuria may disapworse,
nor did any complication arise, but pear or remain slight or intermittent, with-
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the tost is difficult to determine in such
cases. In the literature, harm resulted in
no case (with a single unexplained exception)
from any other cause than the omisout
progressing into severe diabetes.
When a consideration of the family history
or life history of any individual leads
us to think that there is a special risk of
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f
sion of one or other of the above mentioned
precautions, which have been experimentally
learned to be necessary.—British Medidiabetes
developing, the following precau- l
tions as to the mode of life appear to be ad- !
visable, in view of what is known regarding I
cal Journal.
The Possibility ol Preventing Diabetes
or of Postponing its Onset.— Williamson,
The London Practitioner, states that precautions
for preventing or postponing the onset
of diabetes may be considered in the following
cases:
the etiology of the disease:
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Sugar, sweets, chocolate, very sweet fruit, I
^^^^ ^^ ^^^-^^^^ ^^ ^^-^^ ^^ ^^-^^^^ containing ^
much sugar should be avoided. It is easy i
for most individuals to acquire the habit of
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taking food without sugar; but if there 1
should be difficulty in this respect, saxin or
]
saccharin may be used. j
1 In the case of individuals who have a Unless actual glycosuria has been detected i
family history of the disease, and especially there is no reason whv an average amount |
if a brother or sister has suffered. of starchv food should not be taken: but of \
2. In the case of Jews, whose profession course great excess of starchv food would .
or business cause great mental oxerstrain, „ot be desirable. As alreadv mentioned, i
'
especially those who are very ambitious, observations on ailmentarv glvcosuria show
those who are very stout, who eat an excess that sugar is much more powerful than v
of food, and who take little exercise. starch in producing glycosuria. 'i,
r-,. In the case of women whose urine has The total amount of food should not be* ;:
contained a considerable amount of grape excessive, especially after the age of forty.
sugar during pregnancy, which has disap- strict moderation as regards all forms of '
peared after parturition. alcoholic beverage is important, and sweet
4. In cases of gout, acromegaly, and ^ines (especiallv port, Tokav, and cham- J
great obesity, especially if the obesity, pagne) and liquors should not be taken, i]
should have developed at an early period Beer should only be taken in very moderate }
Oi ^iiS. quantities. All beverages containing much j
•5. The possibility of diabetes is worthy sugar should be avoided. J
of a thought in the case of men who have A sufficient amount of outdoor exercise
reached the age of forty or fifty, who have is very desirable, and this particularly im- i
had great mental strain in their profession portant if the occupation should be a sed- '
or business, who have been very ambitious, entary one. Dyspepsia and constipation I
worked ver\- hard, and taken little exercise, should be treated, since severe dyspepsia is i
if such individuals have taken an excess of occasionally an antecedent of diabetes. As j
food and alcohol, and have become stout, mental worry, mental overstrain, and over- |
there is a greater risk. work are so often exciting causes of the '
6. In very stout women just after the disease, it is advisable that those who are
climacteric period, and after au operation considered to be predisposed to diabetes j
on the uterus or ovaries, the risk of diabetes siiould, if possible, choose an occupation in i
is worth bearing in mind, especially when which there is not a special risk of these ;
there is a family history of the disease. injurious influences, or that the work should j
7. When the urine
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has been found to be so arranged, or modified, as to diminish
contain a trace of sugar temporarily after this risk to the minimum.
an acute illness,, an injury, an excess of The possibility of diabetes developing is
sweet food, etc. or at the examination for worthy of a thought in the case of successlife
insurance, the ciuestion of the prevention
of permanent glycosuria, or true diaful
barristers, solicitors, and medical men,
who are working at high pressure, and have
betes, requires consideration. little tune for exercise or holidays, and also
•s. In all cases of permanent slight glyco- in the case of publicans, who are taking al-