We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |


Ben H. Brouhard, MD
Am J Dis Child. 1988;142(5):496. doi:10.1001/archpedi.1988.02150050034024.
Text Size: A A A
Published online


As a pediatrician, I frequently am asked "When will there be a cure for diabetes?" Ten years ago, with the success of pancreas transplants, I was predicting that in about ten years we would have a cure for diabetes. I am now more cautious in making such predictions, but I do remind parents and teenagers who ask this question how far we have come in the last decade.

Ten years ago, insulin therapy usually consisted of one shot per day of insulin (an intermediate-acting insulin with or without regular). Encouraged by what were then provocative new data, we began recommending conversion from one to two shots per day of insulin to improve blood glucose control throughout a 24-hour period and to prevent progression of diabetic retinopathy. Most parents did not want to subject their children to another shot. However, patients who adopted the new regimen found that it allowed more flexibility in the timing of meals, and they also physically felt so much better that none returned to one shot per day. Today, we routinely prescribe two shots per day for all patients beginning to receive insulin, and sometimes three shots per day. Insulin regimens today can be as varied as the life-styles of the people who use them, including intermediate-acting, regular, and long-acting insulins and, in specific instances, the subcutaneous insulin infusion pump. All of these methods provide good blood glucose control along with more flexibility in life-styles to accommodate the needs of diabetic children with two working parents or diabetic teenagers and college students


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.