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dc.contributor.authorScott, R. C.en
dc.date.accessioned2018-05-22T12:47:57Z
dc.date.available2018-05-22T12:47:57Z
dc.date.issued1926en
dc.identifier.urihttp://hdl.handle.net/1842/30738
dc.description.abstracten
dc.description.abstract1. A Sugar Tolerance test gives information of great value for the accurate diagnosis and treatment of an obese patient.en
dc.description.abstract2. About 25% of obese subjects show a response to the glucose tolerance test indistinguishable from that found in a definite case of diabetes mellitus. Such cases, though not as yet showing the characteristic clinical signs of diabetes, should be regarded as mild diabetics and treated as such. If left untreated they will, in all probability, ultimately become true diabetics.en
dc.description.abstract3. A small proportion of obese cases are the result of an Endocrinopathy, e.g. Fröhlich's syndrome, "post -pregnant" obesity (from exhaustion of the thyroid). The blood sugar shows a poor response'. to the glucose tolerance test, and the probable cause of the laying on of fat is the fat sparing action of the carbohydrate of the food.en
dc.description.abstract4. There is a second type of obesity in which decreased sugar tolerance is a prominent feature. It again may be sub-divided into two groups. The 1st Group is characterised by obesity, high blood pressure, hyperglycaemia, and evidences of Renal impairment. The blood sugar curve is exaggerated and prolonged; there is no glycosuria associated, this being due to a raised renal threshold (probably a result of chronic interstitial nephritis.). The 2nd Group is the "Essential Hypertonias" characterised by arteriosclerosis, hypertension, obesity, and hyperglycaemia. They differ from the above group in having no evidence of Kidney involvement. They show a fasting hyperglycaemia. Both types probably admit of a common explanation and both show evidence of impaired carbohydrate metabolism. Their relation to the "pre - diabetic" Group III is as yet uncertain. Their relation to diabetes mellitus seem to be more distant than that of the above Group III. This group with hypertension and nephritis, or hypertension and arteriosclerosis, associated with hyperglycaemia and obesity, probably includes about 10% of all cases of Obesity.en
dc.description.abstract5. About 60-70% of Obese subjects have a comparatively normal blood sugar concentration, and respond in a normal manner to the sugar tolerance test. The obesity in such cases is probably due to a simple disproportion between energy intake and expenditure.en
dc.description.abstract6. It is possible that the above type of case may progress until hypertension, nephritis, arteriosclerosis start their vicious circles, and force. the case into Group II.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2018 Block 19en
dc.relation.isreferencedbyen
dc.titleThe blood sugar in obesity: a survey of the recent literature with an account of the personal investigation of several casesen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameMD Doctor of Medicineen


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