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01/11/1922 • 1 views

A Shot Heard Around the World: The Day Insulin Changed Everything

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January 11, 1922, is a date etched in the annals of medical history.


January 11, 1922, is a date etched in the annals of medical history. On that day, in a hospital ward in Toronto, Canada, a 14-year-old boy named Leonard Thompson became the first human to receive an injection of insulin for the treatment of diabetes. It was a moment that transformed a death sentence into a manageable condition, ushering in a new era of hope for millions.

For centuries, a diagnosis of type 1 diabetes was a grim prognosis. The disease, characterized by the body's inability to produce enough insulin to process sugar, led to a slow, agonizing decline marked by insatiable thirst, extreme weight loss, and ultimately, diabetic coma and death. Doctors could offer little more than starvation diets, which might prolong life for a short time, but never cured the illness. Children diagnosed with diabetes rarely lived more than a year or two.

The breakthrough began in the spring of 1921 when a young surgeon named Frederick Banting, along with his assistant Charles Best, started experimenting at the University of Toronto. Under the guidance of Professor John Macleod, and later joined by biochemist James Collip, the team worked tirelessly to isolate a pancreatic extract that could regulate blood sugar. Their initial experiments on dogs were promising, showing remarkable reversals of diabetic symptoms.

The challenge then became purifying this extract for human use. This is where the story takes a "crazy" turn, highlighting the often-messy reality of pioneering medical research. Leonard Thompson, a patient at Toronto General Hospital, was severely ill, weighing just 65 pounds and on the brink of death. His doctors, in a desperate attempt, agreed to administer the experimental extract.

The first injection, given on January 11, 1922, was not an immediate success. The insulin, still crude and unrefined, caused a severe allergic reaction in Leonard, marked by a sterile abscess at the injection site and a worsening of his condition. The team was faced with a critical setback.

However, the dedicated researchers were not deterred. James Collip, a brilliant biochemist, worked around the clock, racing against time to further purify the extract. For twelve intense days, he toiled, driven by the urgency of Leonard's deteriorating health and the immense potential of their discovery.

On January 23, 1922, the refined insulin was ready. It was again administered to Leonard Thompson, and this time, the results were nothing short of miraculous. Within 24 hours, Leonard's blood sugar levels plummeted from dangerously high to near-normal. His ketones, a sign of diabetic ketoacidosis, disappeared, and he began to regain strength and appetite. The emaciated boy, who had been fading away, was now showing clear signs of recovery.

News of the successful treatment spread like wildfire. The Toronto team, recognizing the monumental impact of their discovery, quickly made the production methods available to pharmaceutical companies, foregoing personal profit to ensure the rapid dissemination of this life-saving drug.

The first insulin injection was more than just a medical procedure; it was a beacon of hope that illuminated the darkness surrounding diabetes. It demonstrated the power of scientific inquiry, perseverance, and collaboration. Leonard Thompson, who went on to live another 13 years with the help of insulin, became a living testament to a medical miracle, paving the way for millions to lead full and productive lives, forever changing the narrative of a devastating disease.

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