"This is an age of justified pessimism concerning the probability of success in treating obesity in adults. It is worth emphasizing, therefore, that judging by weight and by ponderal indices, some measure of success, major or minor ... can be anticipated in about one-half of obese children and adolescents."
The data herein presented or reviewed indicate that the prevalence of concomitants or complications of diabetes such as hypertension, obesity, retinopathy, neuropathy, etc. may vary greatly from clinic to clinic. Though variable diagnostic criteria, observer error, ethnic or national differences may account for some of the disparity, selection of patients through death, economic factors, etc., which results in clinic rosters which are not representative of the total diabetic population also plays a role of undetermined significance. Hence definitive statements concerning the relative predisposition of males and females to concomitants or complications of diabetes must await standardization of population and criteria, data on incidence as well as prevalence, and expression of such data on a cumulative basis. Until then we can only speak of findings in limited populations because we have as yet no basis for intergroup comparisons. DIABETES 15:507-10, July, 1966.Among current patients in our diabetic clinic obesity and hypertension are more common in women, and shin spots and absent pedal pulses are more frequent in males. The prevalence of retinopathy, Achilles tendon areflexia, decreased vibration perception, orthostatic hypotension, and peripheral neuropathy is about the same in the two sexes. Comparisons with other centers (tables i and 2) 1 ' 16 reveal wide differences in the reported frequencies of these manifestations in the two sexes and in diabetics as a group. Such differences are however of unproved validity because of obvious limitations in the data stemming from nonuniformity of criteria, patient selection, estimates limited to prevalence,
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