E. PETRIE HOYLE.
INSULIN IN THE VOMITING OF PREGNANCY. E. Sachs (Med. Klinik, April 15th, 1927, p. 550) has found insulin treatment successful in severe cases of the vomiting of pregnancy when patients were losing weight and rejecting food. He begins with small injections of 5 units twice a day and progresses to two daily doses of 20 units. These doses are not preceded by the administration of carbohydrates, and it is to this that he believes the efficacy of the treatment is due. Symptoms of hypoglycemia have never appeared.
The improvement is immediate; the patients cease to vomit, their appetite improves, and they gain in weight. The mode of action is obscure, but the author holds that since the causation of the disease is possibly psychological, its treatment along the same lines-namely, by the administration of a popular drug-is at least justified by the results. British Medical Journal, June 4th, 1927.