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TREATMENT OF THE DIABETIC CHILD WITH PARTICULAR REFERENCE TO THE USE OF GLOBIN INSULIN

ROBERT L. JACKSON, M.D.; C. B. McINTOSH, M.D.
Am J Dis Child. 1945;70(5):307-313. doi:10.1001/archpedi.1945.02020230047008.
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Diabetes mellitus in the young patient is so different from diabetes mellitus in the middleaged or elderly patient that it requires special consideration from a therapeutic standpoint. The majority of children and young adults are undernourished when the disease is first discovered, and the onset of the disease is relatively sudden. The majority of the older patients are obese when the disease is first discovered, and the onset is frequently insidious. The disease in the children, as contrasted to the disease in the adult, is severer. The nutritional requirements for the child are relatively greater and constantly changing, and infections are more frequent and are severer. Exercise is much more erratic, and the emotional pattern is far less stable in childhood. On the basis of these differences, it is safer from the standpoint of practical therapeutics to consider diabetes of the young patient as distinct from diabetes of the middle-aged

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