A departure from the now almost universally used “Allen-Joslin Starvation Diet,” is seen in the “Newburg-Marsh High Fat Diet.”
The use of a high fat diet in the treatment of diabetes is based primarily on one fact—namely, that if the food eaten is not sufficient for the needs of metabolism, the body itself supplies the deficiency. Fat is used as long as it lasts, body protein being drawn upon for fuel when this is exhausted. It is of distinct advantage to the patient to have a diet of sufficient fuel value to run his body machine and permit him a moderate degree of exercise. For by this means he is not obliged to use his own body substance to carry on metabolic processes. We thereby avoid the condition of extreme emaciation (though it is to be emphasized that gain in weight is to be carefully guarded against) with its constant lowering of the general health.
The system of feeding consists of a series of four diets, examples and standards of which are given below. The diet is made up of protein on the basis of approximately ⅔ of a gram per kilogram of body weight at the time the patient leaves the hospital, a quantity of carbohydrate known to be well tolerated and the balance of the calories in fat.[154]
Diabetic Diet No. 1
| Key: | |
| A | Weight Gm. |
| B | Protein Gm. |
| C | Fat Gm. |
| D | Carbohydrate Gm. |
| E | Calories |
| 18-22 Proteins | |||||
| 12-15 Carbohydrates | |||||
| 800-1000 calories | |||||
| Food | A | B | C | D | E |
| Dinner: | |||||
| Fish | 50 | 8.9 | 5.1 | 82 | |
| with Butter | 10 | .1 | 8.5 | 77 | |
| Cabbage | 50 | .8 | .1 | 2.8 | 16 |
| with mayonnaise | .7 | 38.2 | 353 | ||
| Tomatoes | 100 | 1.2 | .2 | 4.0 | 23 |
| Broth—Tea | |||||
| Supper: | |||||
| String beans | 80 | 1.8 | .2 | 5.9 | 33 |
| with bacon | 10 | 1.0 | 6.5 | 62 | |
| Spinach soup— | |||||
| Spinach | 10 | .2 | .3 | 2 | |
| Cream | 10 | .2 | 4.0 | .3 | 38 |
| Broth to fill bowl | |||||
| Celery | 20 | .2 | .7 | 4 | |
| Broth—Tea | |||||
| Breakfast: | |||||
| Omelet— | |||||
| 1 egg | 6.7 | 5.2 | 74 | ||
| with butter | 10 | .1 | 8.5 | 77 | |
| Coffee | |||||
| 21.9 | 76.5 | 14.0 | 842 | ||
Diabetic Diet No. 2