Three lectures on the pathology and treatment of diabetes mellitus viewed by the light of present-day knowledge / by F.W. Pavy.

  • Frederick William Pavy
Date:
1908
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Licence: In copyright

Credit: Three lectures on the pathology and treatment of diabetes mellitus viewed by the light of present-day knowledge / by F.W. Pavy. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    food of an ordinary nature. The opening that iiere exists for liability to error must be intelligible to all. Not only, on the one hand, is treatment thwarted, but on the other band, the foundation is laid for erroneous conclusions, touching the disease and its treatment, to be framed. This brings me to speak again of the work of Pi-ofessof von Noorden. I notice in Dr. Boardman Eeed's translation or von Noorden's work on Diabetes Mellitus, that the author announces himself to be an advocate of the restricted diet treatment of diabetes. At p. 173, he says, '' The first rule that I must lay down is this: the reduction of the glycosuria to the smallest possible limit must be the goal that is never to be lost .sight of. Again, at p. 180, after having, in the case of mild forms of glycosuria, advocated commencing the treat- ment with the restricted diet, notwithstanding even the existence of a certain amount of tolerating power of carbo- hydrate, and stated that carbohydrate is afterwards to be gradually added to the food, he proceeds : Care must, of course, be taken that the amount always remains below the level of the toleration limit. Although thus expressing himself upon principle of action in a manner to which no exception can be taken, what do vfe find amongst bis practical recommendations ? That the '' oat cure is added to the longish list of special food cures that have been introduced. In the com-se of my experience, I can recall the introduction of the treacle cure, the honey cure, the skimmed milk cui-e, von Duering's rice cure, and Moss6's potato cure, as food cures for diabetes. To the list is now added VON noorden's oat cure, and the claim is made for it that it is superior to the other cures. At p. 195, the statement occurs: In comparing the potato cure and the oat cure, as I often did for the sake of comparison in the same patient, allowing the one treat- ment to follow the other, I became convinced of the decided superiority of the oat cure. Severe cases of diabetes react much more favourably on oats than on potatoes. I must, however, acknowledge that there are exceptions, and in appropriate cases [the kind of case to be appropriate is not mentioned] I myself have gladly made use of Mossg's treatment.