Dietetics for Nurses

by Fairfax T. Proudfit

Key:
A	Carbohydrate
B	Protein
C	Fat
D	Calories
E	5% Vegetable
F	Orange
G	Oatmeal
H	Shredded Wheat
I	Uneeda
J	Potato
K	Bread
L	Egg
M	Cream 20% fat
N	Bacon
O	Butter
P	Meat
Q	Fish
R	Skimmed Milk

Diets with which to become Sugar free	Diet in Grams				Test Diets														Name of Diet
	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R
T. D.1	189	89	15	1247	300	300	...	1	...	240	90	...	...	...	...	90	120	480	1
T. D.2	102	58	0	640	300	300	...	1	...	120	...	...	...	...	...	...	180	300	2
T. D.3	64	33	0	388	300	300	...	...	...	60	...	...	...	...	...	...	90	240	3
T. D.4	36	27	0	252	300	200	...	...	...	...	...	...	...	...	...	...	90	120	4
T. D.5	15	5	0	80	300	50	...	...	...	...	...	...	...	...	...	...	...	...	5
Maintenance Diets					Carbohydrate (C)							Protein and Fat (PF)
C1+PF1	10	11	6	138	300	...	...	...	...	...	...	1	...	...	...	...	...	...	1
C2+PF2	22	13	18	302	300	100	...	...	...	...	...	1	60	...	...	...	...	...	2
C3+PF3	32	24	24	440	600	100	...	...	...	...	...	2	60	...	...	...	...	...	3
C4+PF4	42	29	39	635	600	200	...	...	...	...	...	2	60	30	...	...	...	...	4
C5+PF5	52	32	53	813	600	200	15	...	...	...	...	2	60	30	15	...	...	...	5
C6+PF6	63	43	65	1009	600	200	30	...	...	...	...	2	90	30	15	30	...	...	6
C7+PF7	73	51	70	1126	600	300	30	...	...	...	...	2	90	30	15	60	...	...	7
C8+PF8	83	59	87	1351	600	300	30	...	2	...	...	2	90	30	30	90	...	...	8
C9+PF9	96	62	93	1469	600	300	30	½	2	...	...	2	120	30	30	90	...	...	9
C10+PF10	107	63	93	1517	600	300	30	1	2	...	...	2	120	30	30	90	...	...	10
C11+PF11	131	75	98	1706	600	300	30	1	2	120	...	2	120	30	30	120	...	...	11
C12+PF12	155	79	98	1818	600	300	30	1	2	240	...	2	120	30	30	120	...	...	12

Food	Weight in grams	Approximate equivalent
Orange	300	One and one-half (large size)
5 per cent vegetables	300	Three moderate portions
Skimmed milk	480	One pint (16 ounces)
Fish	120	Two small portions
Potato	240	Two medium sized potatoes
Meat	90	One moderate portion
Bread	90	Three small slices
Oatmeal (dry wgt.)	30	One large saucerful
Cream	60	Four tablespoonfuls
Bacon	30	Four crisp strips
Butter	30	Three medium portions

The Test Diets are designed for the period during which the patient becomes gradually sugar free. On successive days advances can be made from Test Diet 1 to Test Diet 5, and if on the fifth day the patient is not sugar free, fasting can be employed for one or more days.

The Maintenance Diets are for use so soon as the urine of the patient is free from sugar. If this occurs as a result of Test Diet 5 the patient begins with Maintenance Diet C1PF1. The actual articles of food representing the carbohydrate in the diet for the first day are given under the heading of carbohydrate, for convenience described C1, 2, 3, etc. The articles referred to under protein and fat are under that heading, which for the same reason is described as PF1, 2, 3, etc. Certain cases of diabetes can proceed steadily day by day from C1PF1 to C12PF12, without showing sugar. If sugar does appear in the urine, drop back two days in the carbohydrate group, wait till sugar free, then advance in the protein and fat group until sufficient calories are obtained. Thus, if sugar shows on C7PF7 the diet prescribed would be that included in C5PF7 and thereafter progression could be made in the PF group until twenty-five to thirty calories per kilogram body weight were furnished the patient.

Occasionally the patient becomes sugar free on Test Diet 2, 3, or 4. It is then unnecessary to begin with Maintenance Diet C1PF1, but instead with a maintenance diet which contains a value for carbohydrate similar to that of the test diet upon which the patient became sugar free.

If the protein and fat are too high for the individual on a given day it is easy to advance the carbohydrate and decrease to an earlier day on protein and fat.

The plan is arbitrary and the majority of cases will demand some modification. It is arranged to enable patient or nurse to see in advance the general plan of treatment.

(Courtesy of Dr. Joslin and Thomas Groom & Co., Boston.)