What Is Diabetes? Dr. Joslin and Definition of Diabetes. March 1, 2017

"Diabetes is a disease in which part of the food escapes use by body and appears as a sugar in the urine. If the patient stops overeating and eats less sugar and starch, most of the symptoms of diabetes will vanish." (A Diabetes Manual for the Mutual use of the doctors and Patients by Elliott P. Joslin, M.D., S.D. Seventh Edition. Lea & Febiger, Philadelphia. 1941)

At that time insulin was already discovered and widely available to be used. By the time Dr. Elliott Joslin already published books and manuals how to treat diabetics with insulin and ... diet of cause. Why? Because of according to his own definition diabetes resulted by overeating, and if diabetic stop to eat he or she would not have symptoms of diabetes.
Who is Dr. E. P. Joslin?

  Elliott Proctor Joslin, M.D. (6 June 1869 - 28 January 1962) was the first doctor in the United States to specialize in diabetes and was the founder of today’s Joslin Diabetes Center. Dr. Joslin was involved for seven decades in most every aspect of diabetes investigation and treatment, save for the fact that he did not discover insulin. Following the Toronto group's blockbuster discovery of insulin in 1921, and the group's disbanding several years later, Joslin became effectively the Dean of diabetes mellitus. In the mid 1920s, Joslin, in his mid 50s, took the reins as the world spokesman for the "cause of diabetes." He was the first to advocate for teaching patients to care for their own diabetes, an approach now commonly referred to as "DSME" or Diabetes Self-Management Education. He is also a recognized pioneer in glucose management, identifying that tight glucose control leads to fewer and less extreme complications. http://ift.tt/2mvPsfE

 He did not discover insulin.Why? At the time of insulin discovery he was in his 50th. He already was involved in diabetes treatment and investigations. Difference with Dr. Banting who was not specialist in diabetes treatment. So, why Dr. Joslin did not see where problem located and Dr. Banting found the treatment in the field he was not specialist? BTW, did Dr. Joslin's patients recovered with his therapy? Not at all. Before Dr. Banting discovery of Insulin diabetics died even on very tight control of diet, no sugar at all, no starch. After insulin discovery Dr. Joslin smartly combined Insulin Therapy with his never working idea that diabetes caused by overeating. Why? Why he present that if diabetic stop overeating he or she would be diabetes - free? Did it really work? If so then how? When?

Joslin was also the first to name diabetes a serious public health issue. Just after WWII, he expressed concern to the Surgeon General of the U.S. Public Health Service that diabetes was an epidemic and challenged the government to do a study in his hometown, Oxford, Massachusetts. The study was started in 1946 and soon confirmed the true incidence of diabetes in the general population [including a percentage of cases that went undetected]. [ref. Oxford Study].and carried out over the next 20 years. The results would later confirm Joslin’s fear that the incidence of diabetes in the United States was approaching epidemic proportions. He has been named as being, with Frederick Madison Allen, one of the two leading diabetologists from the period between 1910 and 1920.

      At the time 1946 Dr. Banting already was death. Dr. Joslin took Top Stage in diabetes investigation,  treatment, and education. Seven decades, and what he discovered? That diabetes is epidemic and serious tread to public health and social system. Also most important that there are no need in diabetes treatment. Just education, teaching, and self-management of diet and overeating. 20 years studies! The result of studies? The same as it was before studies started.
     Did I mentioned, diabetes is very profitable to treat? Insulin was discovered in 1921. Now it is 2017. 96 years after treatment was ready to be used. Is insulin is number 1 doctor choice today? Not at all. It is Fife Style Modification number one doctors' choice. The same as 100 years ago, diabetics type 2 die ten years after being diagnosed with diabetes. What was real fear of Dr. Joslin is that Insulin will cure diabetics, so there is no any profit. No any opportunity to teach diabetics, but demand to use insulin and be able to cure patients. What Dr. E. P. Joslin would do for 20 years and more? Teaching is profitable and safe for doctor. If patient died it is not because doctor did not use right medicine to treat patient but because of patient was not educated, did not lean. So simple and so brilliant.

 "We can only scratch one back at a time, but we can teach many patients together and each is likely to teach another."

76,000 Americans die every year because of Diabetes, overeating, according to Dr. Joslin education diabetes definition. Diabetes is number 7 cause of Deaths, 100% preventable deaths if insulin used at proper time and in proper regime. It is number 3 cause of all mortality. So simple, diabetics just do not learn how to behave properly, how to eat properly. Right as Dr. Joslin predicted and how hard he worked to the point of his predictions. At the time of insulin discovery Dr. Joslin already was active specialist in treatment of diabetics with low carb diets and starvation diet. He published books and was prominent specialist in the field of diabetes. Would he be so low mind to give up his high profit?

 Carbohydrate Utilization In Diabetes Based On Studies Of The Respiration, Urine And Blood [FACSIMILE] 1915 by Joslin, Elliott Proctor, 1869-1962

**REPRINT** The treatment of diabetes mellitus, with observations upon the disease based upon thirteen hundred cases 1917 by Joslin. Elliott Proctor. 1869-1962 ***NOTE: THIS IS A "PRINT ON DEMAND" VERSION FROM THE ORIGINAL BOOK***

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