The Acute Surgical Abdomen in the First Year of Life

Management of diabetes mellitus in an infant or child requires careful dietary calculation and thorough instruction of the family. The risk of reactions to insulin is minimized if the dosage is adjusted so that the amount of glucose excreted in the urine is maintained at a constant low level. Regular insulin is used initially. When intake of food becomes predictable, NPH or lente insulin is also given. Details of dietary composition, insulin dosage, and treatment of hypoglycemic reactions are given, and hospital record sheets are reproduced.