Abstract
THE case presented is one of a juvenile diabetic who survived the preinsulin era. Her stunted growth gave rise to speculation on the “endocrine” stigmata of her dwarfism, whereas the starvation management of her diabetes in the preinsulin era was probably the main contributory factor. The course of her diabetes, complicated by hyperthyroidism, presents some points of interest. CASE HISTORY R.G., a 45-year-old white female, had no familial history of diabetes or dwarfism (Fig. 1). One older normally built sister suffered from rheumatoid arthritis; her rather tall brother, from night blindness. The patient, the youngest of the three children, was born when her mother was 51 years old. She had an uneventful childhood, although she was sickly and could not follow a regular school curriculum. At the age of one year she had pneumonia. Menstruation started at eleven years, and was regular until November 1946, when the menopause ensued.
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