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These studies suggest that diabetes was significantly impacted by the discovery of insulin in 1921, which revolutionized its treatment and led to a Nobel Prize in 1923.
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Diabetes has been recognized since ancient times, with early mentions found in Egyptian, Indian, and Chinese texts. The term "diabetes" itself has Greek and Latin roots, referring to the excessive urination and sweet-tasting urine characteristic of the disease . Ancient Indian texts referred to it as "madhu meha" or "sweet urine".
Significant progress in understanding diabetes began in the 19th century. In 1869, Paul Langerhans discovered the islets of Langerhans in the pancreas, although their role in diabetes was not yet understood . By 1889, Minkowski and von Mering demonstrated that removing the pancreas in dogs induced diabetes, highlighting the organ's crucial role in the disease .
The early 20th century saw numerous attempts to isolate the active substance in the pancreas responsible for regulating blood sugar. However, these efforts were often unsuccessful due to the toxicity of the extracts produced . Researchers like Eugene Opie and others identified the islet cells as the source of this internal secretion, but practical applications remained elusive.
The breakthrough came in 1921 when Frederick Banting, Charles Best, and James Collip, under the supervision of John Macleod at the University of Toronto, successfully isolated insulin. Their pancreatic extracts were able to lower blood glucose levels in diabetic dogs without the toxic effects seen in earlier attempts . This discovery was rapidly translated into a treatment for humans, with the first successful administration to a 13-year-old boy, Leonard Thompson, in January 1922.
The discovery of insulin was quickly recognized as a monumental achievement. In 1923, Banting and Macleod were awarded the Nobel Prize in Physiology or Medicine, which they shared with Best and Collip, respectively . Despite the accolades, the discovery was not without controversy, with debates over the contributions of various researchers.
The introduction of insulin transformed diabetes from a fatal disease to a manageable condition. Before insulin, type 1 diabetes was universally fatal, but insulin therapy allowed patients to lead near-normal lives . The discovery also spurred further research into diabetes, leading to advancements in understanding and treating the disease .
The discovery of insulin in 1921 marked a turning point in the history of diabetes treatment. From ancient descriptions to 19th-century scientific advances and the groundbreaking work in Toronto, the journey to this discovery involved many researchers and significant milestones. The rapid development and dissemination of insulin therapy have saved countless lives and continue to be a cornerstone of diabetes management today.
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