Trauma and diabetes

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Amity Island

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Relationship to Diabetes
Type 1
n.b No access to the full text but the openng text was in itself interesting.

The thesis that sudden trauma can cause diabetes has steadily lost support with the expanding knowledge of the nature of diabetes; however, evidence has accumulated to show that trauma indirectly can activate, or accelerate, the appearance of latent diabetes in the hereditarily predisposed, particularly if accompanied by infection, reduced muscular exercise, overweight, overeating, disease of the pituitary, thyroid, adrenal, or liver, and pregnancy.

To prove that trauma is the cause of diabetes in any individual case the evidence must show that: (a) the disease did not exist before the trauma; (b) the trauma was severe, injuring the pancreas; (c) the symptoms and signs of the disease developed within a reasonable period after the trauma, the etiological importance of the trauma waning with the prolongation of the interval; and (d) the symptoms and signs of diabetes were not transitory but permanent and if permanent that the evidence was such that as

 
Given b) that seems like they're talking about physical trauma rather than emotional :confused:which is interesting because I didn't think that there had been a move away from considering that as a cause but rather relabelling as Type 3(letter).
 
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