Home >> Volume-02-nutritive-disorders >> Accessory Measures Anal Procedures to And Its Estimation The >> Age Diabetes Mellitus

Age - Diabetes Mellitus

disease, occurs and occurrence

AGE - DIABETES MELLITUS.

Age is also of decided etiological significance. Diabetes occurs, indeed, at any age; even nursing infants have been observed to suffer from the disease, but such cases are very rare. The affection be comes a little less infrequent about the age of puberty, yet even here it is of uncommon occurrence. The disease when it occurs in chil dren is very often the result of hereditary influences ; one frequently sees several children of the same family affected. Diabetes in chil dren is also worthy of note from a prognostic point of view, for it occurs for the most part in severe form at this age and runs a rapid and inevitably fatal course. There are, however, exceptions to this rule, as Schmitz ' has recently shown in his noteworthy mono graph.

After puberty is passed diabetes increases rapidly in the frequency of its occurrence, although the highest figure is not reached until the fifth decade of life. The facts, however, upon which this statement rests are not altogether reliable. The ages given by different observ

ers are those of the patients when first coming under observation, and there are no figures to show when the disease began; but the beginning of the affection may often date back many years.

Toward the end of the sixth decade of life diabetes becomes again of less frequent occurrence, not only, it would seem, absolutely but also relatively to the number of individuals living at this age. When the disease makes its appearance in men at the prime of life or on the threshold of old age, it is usually in very short persons whose obesity has existed for ten or twenty years and now becomes complicated with diabetes. The disease is seldom very severe when it is devel oped at this age. In woman there is an increase in the frequency of diabetes at the climacteric period (Borichardat).

The following table shows the frequency of the disease at differ ent ages, according to the experiences of Frerichs and Seegen: