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The problem of treating diabetes mellitus seemed to have been
solved by the discovery of insulin and the production of purified
crystalline insulin compounds whose time of effect can be varied by
using different additions. Orally applicable substances for
reducing the blood-sugar level have been searched for in order to
free the diabetic from the necessity of daily injections. There are
also other reasons for this research. Pathophysiological
investigations in diabetes mellitus have shown that metabolic
errors are not always based on a simple insulin deficiency but that
in many cases other insulin antagonistic factors playa part. For
instance, the concept of deficiency diabetes growth-onset type,
usually found in juveniles and ectomorphs, was contrasted with the
concept of hypertensive diabetes (R. SCHMIDT 1924, 1930) or
"Gegenregulationsdiabetes" (BERTRAM) or, "Oberfunktionsdia betes"
(BARTELHEIMER 1940) or "Lipoplethoric- diabetes" (LAWRENCE) in
which there is a positive correlation to the adipose hyperplastic
habitus with hypertensive tendencies (BARTELHEIMER 1940, ApPELS
1951). In this type of diabetes there is no ketosis tendency and a
low insulin- glucose equivalent, i. e. relative insulin resistance
(F ALTA) due to a hormonal imba- lance (too much
blood-sugar-raising hormone is produced by the anterior pituitary
lobe and the supra-renals and possibly also glucagon) or, to
increased insulin de- gradation in the organism, especially the
liver (insulinase system, MIRSKY 1949, 1956).
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