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

  • Pavy, F. W. (Frederick William), 1829-1911.
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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    iiexion with these foods? The figures given for starch in ordinary wheaten bread in the water-free state, to which, for permitting of proper comparison to be drawn, all foods should be brought previous to analysis, run from about 85 to 90, or a little over, per cent. Oatmeal is known to contain less starch than wheaten flour, and the amount may not be greater, if it is not even less, than in the bread-stufE food belonging to the so-called restricted dietary of Professor von Noorden. Actual analysis in the accustomed manner has yielded the following figures:—Quaker oats 69 • 7 per cent., oatmeal groats 73 -2, Scotch oatmeal 74 -2. Hence, in the iiature of things, there would be no justification for the sur- prise stated to have been experienced that the oatmeal food did not produce a greater glycosuria than what had been noticed to exist under the so-called very strict diet. The illusory character of much of what is sold under the denomination of diabetic food has been the source of an immense amount of harm, not only from a practical point of •view in connexion with the treatment of diabetes, but like- Wise through the erroneous impression brought to bear on bur mental conceptions relative to the disease. It is easy to understand how readily false conclusions may be framed upon points connected with the disease by assuming a food to be constituted otherwise than it really is. I will leave this subject now but shall have occasion later to refer to it again. The next point to which I will give consideration is the STATE OF THINGS FOUND TO EXIST AFTER CUTTING OUT THE LIVER from the blood circuit. Looked at in relation to the view taken under the glycogenic doctrine, the effect of the opera- tion ought to be attended with the production of glycosuria after the administration of carbohydrate food. Special experimental procedmres have been adopted for attaining the desired object, and let us see the nature of the result that has been obtained. Minkowski, taking advantage of the anastomosis existing in birds between the portal and renal veins, as long ago as 1886,^ experimented upon geese in relation to the point. It is found, through the anatomical condition existing, that the 1 Archiv fiir Bxperimentelle Pathologie und PharmakoIogie> Band :ixj., S. 41, 1886.