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True to its principles, to Omeprazole Prilosec give the medical practi-
tioner not only the results of advanced scientific
investigation, but also the practical application of
this knowledge, the Coupon Prilosec Harvey Society had for the sub-
ject of its lecture last week the treatment of dia-
betes, by the well known Viennese clinician, William
Falta. In these days of scientific medicine it is well
that an entire lecture should be devoted to the treat-
ment of a disease. The modern tendency has been
too much toward astiological and pathological inves-
tigations, and Otc Prilosec while these are necessary foundations
for a complete mastery of disease, they should on
no account crowd out the careful study of treat-
ment. After all, our patients care but little about
their pathological condition ; their interest lies sole-
ly in relief or cure of their symptoms.
In view of the complex nature of diabetes, a
causal therapy is obviously out of the question. The
symptomatic treatment concerns itself primarily
with the chief symptom, the glycosuria. A little
consideration will show that two possibilities of
treatment present themselves, namely, either to in-
crease the efficiency of carbohydrate metabolism or
to diminish the requirement of this metabolism and
give the diseased organs an opportunity to recover.
The attempts made along the first of these lines in-
cluded pancreatic transplantations and treatment
with pancreatic extracts. These efforts, as is well
known, were unsuccessful. In this connection Prilosec Mg it is
[New York
Medical Journal. Online Prilosec
well to remember that the sole cause of diabetes is
not to be sought in the pancreas. It is possible Prilosec Omeprazole that
other organs elaborating an internal secretion are
involved, and there is no doubt of the participation
of the nervous system in some of the cases.
In combating the disturbance of carbohydrate
metabolism, the main thing to attend to is the glyco-
suria. The question is sometimes asked, On what
grounds de we seek to bring about the disappear-
ance of the glycosuria? The 20 Mg Prilosec answer to this is sim-
ple — in order to obtain for our patient the caloric
value of the food he ingests. To take an extreme
example, when a patient excretes daily lOO grammes
of dextrose he loses 400 calories. Conditions may
be such, however, that the mere substitution of fifty
grammes of fat for the carbohydrate will make up
this deficiency, and then our patient will be utilizing
all his food supply. Furthermore, the glychsemia
which goes with a true diabetes increases the dis-
turbances of metabolism, thus establishing a vicious
circle. It is important, therefore, not to be content
with a reduction of the glycosuria to a few grammes
of sugar per Buy Prilosec diem, but to insist on a complete sup-
pression of the condition, including Prilosec Buy the hypergly-
chsemia. Each case must be studied by itself, and
it is of the greatest importance to know exactly Prilosec Online the
character and extent of the disease. In Falta's
clinic, each patient is placed for three days on a
diet composed of 250 grammes of meat, 150
grammes of butter, four eggs, 300 grammes of veg-
etables, and 75 grammes of white bread, together
with tea, bouillon, cofifee, and light Prilosec Cheap wine. This is
divided into three equal meals for one day. The
intake from such a food is calculated by Falta to
be about six grammes of nitrogen and fifty grammes
of carbohydrate. It furnishes about 2,400 calories.
The urine of these patients is carefully examined
daily, and the total excretion of sugar noted. In this
connection it is important to remember that the pa-
tients may also be excreting oxybutyric acid, and
that therefore the Order Prilosec polariscopic determinations may
lead to erroneous conclusions regarding the amount
of urinary sugar. Fehling's test, especially when
the copper is added Coupon For Prilosec in excess and titrated back, is
still the most reliable. However, a combination of
both the polariscopic and Fehling determinations is
often of decided value, for in that way one can ob-
tain an indication of the amount of oxybutyric acid
present. From a comparison of the intake and the
excretion of sugar, one can learn what kind of a
case one is dealing with. Instead of speaking of Prilosec 20 a
negative carbohydrate balance, Falta prefers to take
into account also the proteid metabolism, and cal-
culates an excretion coefficient.
The work of recent years has shown the impor-
tance of studying and treating the acidosis in Purchase Prilosec dia-
betes. What Is Prilosec This is especially true during the period
when the carbohydrates are being withdrawn. As
a rule the condition can be controlled by the ad-
ministration of alkalies, but llurc are cases in which
the use of carbohydratc-s must be resumed. This Prilosec 20 Mg
was well brought out 1)\ the careful studies of AI-
lard, working in Minkowski's clinic. When it is
necessary to keep up the alkali treatment for some
time, it is well Prilosec Otc to employ citrate of sodium. If the
urine becomes and remains alkaline, one may be
sure that the acidosis has been overcome.
The great danger from the acidosis, of course, is
the production of diabetic coma. The onset of this
condition is often marked by a feeling of drowsi-
ness, lack of appetite, and a feeling of oppression
in the chest. Frequently Prilosec Purchase there is a decrease of the
ketone bodies in the urine, and large quantities of
casts are found. There is marked lipsemia, even
during fasting. The one important thing to do is
to administer alkalies as quickly as possible. Bi-

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