be a normal glycosuria by simple exaggeration of the ordinary phenomena of life, but ou condition that the sugar in urine is introduced, and that the glycogen of the liver and muscular tissue has not undergone any modification. There is but one step from normal glycosuria to permanent diabetes. This step is taken when the circulation of the liver is altered by the vaso-motor system of this organ, uuder the influence of irritation of the spiual cord (Claude Bernard), or of other nervous centres. This increased activity exaggerates the genesis of glycogenj and the rapid and excessive transformation of it into sugar. Diabetes is always, in consequence, the result of hyper-glycosuria, which is in the majority of cases of nervous origin. The excessive quantity of sugar formed acts by diuresis, and drains away the pre-existing sugar. The nervous system must be treated, and thereby benefit may be derived.?Provincial Medical Journal, Aug. 1, 1889. RECENT VIEWS ON DIABETES. Dr. Dujardin-Beaumetz (Le Progres Medical) makes a distinction between glycosuria which is only a symptom, and diabetes, which is a disease. Of the latter, there are three forms: one form slight and benign, another slow and moderate, and a third grave. The prognosis should not be based ou the quantity of sugar which is ascertained, but by the results of diet and regimen. The regimen should be very strict. Dr. Beaumetz prohibits milk, allows 100 grammes of boiled potatoes with each meal, prohibits brown bread, fatty food and pork meats; beverages are sweetened with saccharine, the maximum daily dose to be ten centigrammes, tea and coffee are substituted for alcohols. To this regimen he adds as medicines: bromide of potassium, exalgine,or antipyrin. Muscular exercises are of very great value. Dr. Germain .See asserts that normal urine contains sugar. Phenyl-hydrazin, a new and valuable reagent, reveals 33 milligrammes in 100 grammes of urine in 17 per cent, of healthy These individuals are not diabetic individuals. if, after partaking of 160 grammes of white bread, the quautity of sugar eliminated does not vary. In other words, 250 grammes of cane sugar, or 200 grammes of sugar of milk, must be swallowed, in order that sugar may be eliminated by the urine. Amongst the diabetic, on the other hand, the smallest quantity of these substances is detected in the urine, and increases the existiug pathological amount. Glucose is also formed normally in the economy, either by the modification of amvlo saccharine substances in food, or by the transformation of glycogen, or at the expense of the albuminates from without or within. There raav, therefore, -

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