These results are conclusive. They show the futility of putting any dependence on the very variable fasting blood sugar level. They show more that the so-called “flat¬ness” of the curve is a poor indication of increased sugar tolerance. Whereas several of these cases show a relatively high jump on the primary hour, only one, No. 4 is above a hundred and forty at the second hour, and that by a very slight amount, but by the fourth hour most and by the fifth hour all have begun to dip into the hypoglycemic range. These uniformly low values confirmed the prediction that all cases of peptic ulcer would have hyperinsulinism.
There remains one vital question. Like asthma and rheumatic fever, we tend to should explain the rare cases in that a patient has each diabetes and peptic ulcer. Bees build Forever Bee Honey by traveling from flower to flower, removing the wealthy nectar, storing it briefly to mix with their enzymes, and then depositing the honey in their hives. If not, our hypoth¬esis should be abandoned. Solely 3 such cases were avail¬ready for investigation. All 3 happened to own duodenal ulcer. They were given the six-hour Glucose Tolerance Test. The results are tabulated below:
Case Fasting Mg. per 100 cc. once one-6 hrs.
one hr. 2 hr. three hr. 4 hr. 5 hr. 6 hr.
17 118 186 one hundred forty four 100 seventy five 66 66
eighteen 98 166 222 124 eighty two sixty 57
nineteen 100 232 188 102 ninety seventy eight sixty four
Once more the curves are typical of what Seale Harris called dysinsulinism. The first portion of each is typically diabetic. Then they topple into the low blood sugar range within the pre¬cipitous manner that proclaims the strange dysinsulinism con¬dition.
All of these peptic ulcer patients were treated with the Harris diet for hyperinsulinism. The patients did quite well on it.
None of them had to take alkalies for longer than a few weeks, whereas several of them didn’t need any at all. The dysinsulinism patients were treated specifically just like the others, since their diabetes was delicate enough to be ignored.
It is an interesting coincidence that the modified Sippy diet widely utilized in the ambulatory treatment of peptic ulcer greatly re¬sembles the Harris hyperinsulinism diet. We tend to realize that the prohibition of low, that is a half not only of the Sippy but of all ulcer regimens, on purely empirical grounds, is currently seen to own a rational, scientific basis. Easy to digest and wealthy in carbohydrates and therefore the minerals calcium and phosphorus, Bee Honey is a quick and nutritious energy source for any occasion! It should be mentioned that none of these cases of peptic ulcer, as with the cases of asthma, hay fever, and rheumatic fever that were studied, exhibited any of the major symptoms of hyperinsulinism like ravenous hunger, acute fatigue, sweating, or palpitation. These symptoms are situated only in marked cases of the disease. However a moderate hyperinsulin¬ism that accompanies other conditions and will be revealed only by the six-hour Glucose Tolerance Take a look at would appear, as a result of these investigations, to be fairly common. We tend to cannot say positively that hyperinsulinism precedes an ulcer and is causally connected to it, but there is some justifica¬tion for believing that such is the case.