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Diabetes may be regarded as a disturbance of the adrenal-pancreas balance, assisted by events which produce adrenal overwork like great or prolonged emotion, or by strain of the pancreas, effected by over-eating for example. There are other minor glands of internal secretions. But those considered are by far the most important and the most recently explored.

"Since you are here, perhaps you can give me some information concerning the habits of the victim and the persons he received." "Not at all. I have known him but a short time, and he was my patient, as I was his client, by accident. He undertook an affair for me, and I gave him advice; he was in the last stage of diabetes. The assassin hastened his death only a short time-a few days."

There is also a chronic aqueous diarrhoea, in which the atmospheric moisture, drank up by the cutaneous and pulmonary lymphatics, is poured into the intestines, by the retrograde motions of the lacteals. This disease is most similar to the aqueous diabetes, and is frequently exchanged for it: a distinct instance of this is recorded by Benningerus, Cent. v.

The same method may be employed with equal advantage in the aqueous diabetes, so great is the sympathy between the skin and the stomach. To which, however, some application to the skin might be usefully added; as rubbing the patient all over with oil, to prevent the too great action of the cutaneous absorbents. I knew an experiment of this kind made upon one patient with apparent advantage.

The former kind of these inebriates have been observed to be more liable to diabetes and dropsy; and the latter to gout, gravel, and leprosy. Evoe! attend ye bacchanalians! start at this dark train of evils, and, amid your immodest jests, and idiot laughter, recollect, Quem Deus vult perdere, prius dementat.

Lead may be a cause of increased blood pressure, and diabetics occasionally have a high pressure, although more frequently there is a lowering of blood pressure in diabetes. Richman believes that syphilis is the most common cause of hypertension and arteriosclerosis without renal disease. When arteriosclerosis and renal disease are combined, of course the highest systolic readings occur.

The mucilaginous diabetes will require the same treatment, which is most efficacious in the dropsy, and will be described below.

An enormous amount of work has been spent upon the various aspects of it as a mystery. Hundreds of papers in a dozen languages upon the subject are in existence. In a nutshell, they have established pretty well that diabetes is a disease in which there is an excess of sugar in the blood and urine because of an insufficient amount of the secretion of the islands of Langerhans in the pancreas.

I intend to insert this in my thesis, as it coincides with the experiment, where some asparagus was eaten at the beginning of intoxication, and its smell perceived in the urine, though not in the blood." The following case of chyliferous diabetes is extracted from some letters of Mr. Hughes, to whose unremitted care the infirmary at Stafford for many years was much indebted.

Collier. A gaunt, hollow-eyed man was he, worn to a thread by diabetes; and to keep the disease in check, strictly dieted. His appearance was so suggestive of illness, that whenever he was present the conversation always turned on what he might eat and what he must refrain from touching. A large, gray-skinned man, handsome somewhat like a figure of Melancholy carved out of limestone.