cover image Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle

Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle

Thea Cooper and Arthur Ainsberg, St. Martin's, $24.99 (304p) ISBN 978-0-312-64870-1

It was one of the 20th century's medical miracles, and with this retelling of the discovery of insulin (10 months after Caroline Cox's The Fight to Survive: A Young Girl, Diabetes, and the Discovery of Insulin) it's a gripping narrative as well. In 1918, the youngest daughter of former New York governor and future Supreme Court chief justice Charles Evans Hughes was diagnosed with diabetes. At the time, a near-deadly starvation diet was the best hope for sufferers, but four years later, a "pancreatic extract" was showing promise in treating symptoms in animals. Fourteen-year-old Elizabeth Hughes was among the first wave of patients to benefit from the marriage of dogged research and commercial enterprise on the part of Lilly & Co. to manufacture the drug. Author and playwright Cooper and finance-veteran-turned-author Ainsberg bolster the account with impressive sourcing. They also pay particular attention to the complexities of the human drama—the indomitable Elizabeth; her visionary parents; the quarrelsome, "crazy," and eventual Nobel Prize–winning researchers; and the bold commercial pioneers. And it's those details that make this extraordinary chapter of medical history so memorable. B&w photo insert. (Sept.)