File:Geriatrics - the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations (1914) (14775796751).jpg

Identifier: geriatricsdiasc (find matches)
Title: Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations
Year: 1914 (1910s)
Authors: Nascher, I. L. (Ignatz Leo), 1863- Jacobi, A
Subjects: Geriatrics
Publisher: Philadelphia : P. Blakiston's son & Co.
Contributing Library: West Virginia University Libraries
Digitizing Sponsor: LYRASIS Members and Sloan Foundation

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have noeffect in this disease. Phosphoric acid has apparently givengood results in some cases, but in others it seemed to have hadan opposite effect. Diet and hygiene are our only reliablemeasures. DIABETES MELLITUS Diabetes mellitus is a clinical syndrome, the most importantsymptom of which is a glycosuria, which arises from a defect inthe assimilation of carbohydrates, sugar then being found inthe blood and tissues which is eliminated by the urine in quan-tities far exceeding the normal amount. Glycosuria itself is not pathognomonic of diabetes for it maybe produced experimentally by the ingestion of large quantitiesof sugar. In this case there is no perversion of metabolism,but simply an inability of the normal metabolic processes tocompletely convert an excessive quantity of sugar at one time.After the excess has been eliminated the urine becomes normal.If the milk glands are removed shortly before or after parturitionthere is a temporary glycosuria, the process by which glycogen
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Pagets Disease Radiogram of lower jaw showing waste of bony structure. (Courtesyof S. Epstein, New York.) DIABETES MELLITUS 359 is converted into galactose and milk sugar being halted, andgrape sugar, an intermediate product, is then formed. Thisgrape sugar is eliminated by the urine. Glycosuria may alsooccur during or after diseases of the liver, brain, the ductlessglands, infectious fevers, pregnancy and after ingestion of poi-sons. In some of these cases the glycosuria may persist longafter the cause has passed away. Some authorities declarethat this form of glycosuria being due to a perversion of carbo-hydrate metabolism should also be called diabetes mellitus,others will not apply the term diabetes to this temporaryglycosuria, as it disappears normally, but apply this term to amore or less permanent glycosuria which in its milder form canbe controlled by diminishing the intake of carbohydrates.Still others insist that there is not diabetes mellitus unless theattending symptoms of

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