Case 6. A man of 52, entered Jan. 10, 1915, with 1% of sugar. He entered for arteriosclerosis and hypertension, and the sugar was found in the routine examination of the urine. He was kept on house diet for a few days and his sugar rose to 3.5%. No acetone or diacetic acid. After two days of starvation he became sugar-free and continued so as the diet was slowly raised. He was kept sugar-free in the ward eighteen days and was sugar-free on Feb. 6 with a diet of
Carbohydrate, 60 grams.
Protein, 60 grams.
Fat, 200 grams—2280 calories.
On Feb. 7 the protein was raised to 80 grams and 0.2% of sugar appeared in the urine. The protein was then reduced to 60 grams and he remained sugar-free on this diet and was discharged so.
In this case, after starvation, a moderate amount of acetone appeared and continued. No symptoms of acidosis. The ammonia ran from 0.3 to 1.0 grams per day.
Weight at entrance, 160 pounds.
Weight after three weeks' treatment, 156.
Maximum caloric intake, 2525.
Case 7. A young man of 25, diabetic for eight months, entered Jan. 20, 1915, with 6.6% (112 grams) of sugar and strongly positive tests for acetone and diacetic acid. After a period of two starvation days he was sugar-free and actually gained three pounds in the process of starvation (probably due to water retention).
His diet was then raised as follows:—
Jan. 24.
Carbohydrate, 15 grams.
Protein, 25 grams.
Fat, 150 grams. No glycosuria.
Jan. 26.
Carbohydrate, 20 grams.
Protein, 35 grams.
Fat, 175 grams. No glycosuria.