Management of diabetes : treatment by dietary regulation and the use of insulin a manual for physicians and nurses based on the course of instruction given at the Presbyterian Hospital, New York / by George A. Harrop, Jr.

  • Harrop, George A. (George Argale), 1890-1945.
Date:
1924
Catalogue details

Licence: In copyright

Credit: Management of diabetes : treatment by dietary regulation and the use of insulin a manual for physicians and nurses based on the course of instruction given at the Presbyterian Hospital, New York / by George A. Harrop, Jr. Source: Wellcome Collection.

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    counteract the effect of the extract, symptoms may occur as early as thirty minutes after the injection. The first symptoms are subjective. A vague feeling of lack of well-being is often com¬ plained of, or the patient experiences an “inward trembling/’ which he cannot well describe, but which he is sure he has never experienced before. Sudden and pronounced hunger, and less fre¬ quently, thirst, is often the first symptom noted. Pain is not usually complained of. At times there are psychic phenomena, especially in children. These take the form of cries, delusions, disorienta¬ tion and resistance. A marked lowering of body temperature occurs, sometimes as low as 96.5° F. (rectal), and an increase in pulse-rate is found, especially in children. Except in the latter stages of profound shock, there is no constant change in the blood pressure. Dilation of the pupils occurs. Facial pallor, or flushing, which may later extend over the entire body, has been noted. The most striking objective phenomenon is profound sweat¬ ing, at first on the forehead and face, then drenching the entire body. Later trembling and twitching of the extremities occur and, unless proper treat¬ ment is given, the condition progresses to con¬ vulsions, unconsciousness and death. Treatment. The specific and simple treat¬ ment of this condition is the administration of carbohydrate, usually in the form of orange-juice or sugar. Relief almost immediately follows. Candy, glucose, crackers, or any other form of carbo-