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W. S. LADD, M.D.
Am J Dis Child. 1926;32(6):812-838. doi:10.1001/archpedi.1926.04130120009002.
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INTRODUCTION  The metabolic problem in a child suffering from diabetes mellitus is far more difficult than that in the adult, since in the child one must provide not only for maintenance but also for growth. It is a nice problem to accomplish this and at the same time to preserve the carbohydrate burning function of the body.With the advent of insulin, the prospects for the future of the child with diabetes brightened. It seemed to mean that one could give sufficient food to sustain normal life and to keep the patient sugar-free. Formerly, it had been necessary to rely on reduced diet or on starvation. Yet when it came to prescribing a definite number of grams of carbohydrate protein and fat in an individual case, and adjusting the dose of insulin to the needs of that patient, one was faced with questions not so easy to answer.It was


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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