DIABETES MELLITUS 81 



effectual form of medication in checking the forma- 

 tion of sugar in the liver. Glycerin also has the 

 same property of regulating the glycogenic function 

 of the liver and may be given in conjunction with the 

 arsenics. 



In impending coma, large doses of sodium bicar- 

 bonate must be given, and if coma has supervened 

 50 to 100 cubic centimeters of a saturated solution 

 of the same salt should be given intravenously. 



The treatment that has up to the present time 

 given the most favorable results is the administra- 

 tion of an extract of pancreas containing all the 

 ferments combined with arsenic and bromid of gold. 

 This extract, obtainable under the name of trypso- 

 gen jambul (Eugenia jambolana), also has the prop- 

 erty of arresting the formation of sugar, and may be 

 given in doses of from five to ten minims of the 

 fluid extract or five to ten grains of the powdered 

 seed. It may also be given with good effect com- 

 bined as follows in tablet form: 



Antipyrin grs. il 



Fluid extract jambul m. li 



Codein sulphate gr. ss 



Give one such tablet, two or three* times a day 

 or oftener, to maintain effect. 



