Abstract
The preventive measures proposed today for diabetes are individual and are aimed especially at the complications. A disease as widespread among the mass of the population as diabetes necessitates measures applicable to a great number of individuals in order to prevent the onset of the disorder itself. This involves practical difficulties and a large amount of ingenuity in the choice and mode of application of the measures. The prevention of diabetes cannot be the result of a single measure, such as a vaccine working directly upon the individual, nor can it be carried out by removing noxious environmental factors, such as destruction of mosquitoes in swamps and pools. The multiple etiology of diabetes implies multiple and widely applicable measures of prevention. Under these circumstances, during the last decades we have attempted a broader experiment, which may be considered a pilot experiment, including 14,000 diabetics. The first thousand have been followed for 25 years. The approach to this experiment and the results are reported in the present paper in order to promote the prevention of diabetes on a large scale. The authors give some considerations on the prevention by early detection, and on the general prevention of complications by daily avoidance of certain widespread factors.
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