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INSULIN REQUIREMENTS OF CHILDREN WITH DIABETES MELLITUS MAINTAINED IN GOOD CONTROL

HELEN G. KELLY, M.S.; P. TIRUMALA RAO, M.D.; ROBERT L. JACKSON, M.D.
AMA Am J Dis Child. 1955;89(1):31-41. doi:10.1001/archpedi.1955.02050110047007.
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A STUDY of juvenile diabetics who were maintained in good control was undertaken to determine the exogenous insulin requirements in relation to age and growth and also to ascertain whether there is any relationship between the insulin requirement and the age of onset of the disease. The study is based on serial observations of the insulin and nutritional requirements and of growth of 48 children with diabetes mellitus under continuous management in our clinic. These patients have maintained essentially physiological control of their disease within weeks after onset, and at the time of the observations of this study they were also free from known infections and emotional disturbances.

Our criteria for classification of patients in varying degrees of control have been reported repeatedly in the literature.* They are as follows:

  1. Very good to excellent—urine specimens free from sugar except for very occasional traces; very occasional mild insulin reactions.

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