A study of middle aged and elderly patients attending a diabetic clinic has revealed a disturbing state of affairs. Hyperlipidemia and obesity were very common but little attention was paid to implementing appropriate dietary regimens. Management was largely confined to the control of hyperglycemia by using oral hypoglycemic agents, especially combinations of sulphonylureas and biguanide. This situation ignores the correction of factors which are as important, if not more so, than hyperglycemia, in regard to the development of the most lethal complication of maturity onset diabetes, occlusive atherosclerosis. It substitutes for dietary therapy, which is physiological, treatment by drugs which are potentially harmful. It is probable that a similar situation obtains in many other diabetic clinics.
|Original language||English (US)|
|Number of pages||4|
|Journal||South African Medical Journal|
|State||Published - Jan 1 1974|
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