EXTRACT XLVII. 



ON GLYCOSURIA AND DIABETES. 



THAT a relationship exists between these two conditions 

 there seems to be no reason to doubt, but that they are 

 one and the same in nature and character we are not pre- 

 pared to acknowledge. Glycosuria is frequently, if not 

 always, to be regarded as a physiological condition of 

 hyper-katabolism of the sub-cutaneous and general fatty 

 tissues of the body under certain conditions of faulty 

 systemic hygiene, and abnormally rapid molecular disinte- 

 gration of these tissues, whereby their fatty elements are 

 reduced to a glycerinoid or glycero-saccharine composition 

 and consistency enabling them to pass through the kid- 

 neys ; and diabetes may begin in this condition and be 

 a continuation and exaggeration of it, while pathologically 

 developing into a continuous hyper-katabolism of these 

 and of other structural elements, as well as a direct or 

 pre-metabolised conversion of various articles of diet into 

 the condition of sugar, followed by a continuous and 

 pathological activity of the renal glands. 



Glycosuria, thus, in its earlier stages may represent only 

 a physiologically exaggerated condition of a normal tissue 

 change, which in the end slows down to its normal rate, 

 leaving the condition of bodily health unimpaired and the 

 bodily textures and organs unaffected, save perhaps in a 

 more or less permanent lessening of their adipose, sur- 

 rounding, and inter-penetrating elements, which seems to 

 be the material outcome of the unusual katabolic activity 

 and glycero-saccharine change in these latter usually 

 passive structures. It, nevertheless, seems to mark an 

 epoch in the history of its subject's health and metabolism 



