After reviewing in a reasonably satisfactory and brief manner the current views on the pathogenesis of diabetes, Bertram proceeds to outline the method of treatment found effective in the Hamburg clinic. The dietary measures described will not be very useful for the American practitioner. They are complicated, as compared with American plans, and the type of foods called for and the frequent meals are foreign to American food habits.
Bertram's strenuous objection to the patient's testing his urine leaves the reviewer with the impression that the very corner-stone of good treatment is neglected in Hamburg. With no knowledge by the patient of the state of his urine, it becomes almost impossible for him to regulate his dose of insulin. The objection is based on the fear that the patient will be disturbed psychologically if he is constantly watching his urine, but this is seldom found to be the case in