Carbohydrate, 20 grams.
Protein, 40 grams.
Fat, 200 grams.
At no time did he receive more than 2200 calories.
Weight at entrance, 139 pounds.
Weight at discharge, 138 pounds.
These three cases were the first ones we tried, and in each one of them we made the mistake of raising the diet too quickly—either allowing too many vegetables on the vegetable day, or raising the protein too quickly afterwards. With the later cases, after we had more experience, there was no more trouble.
Case 4. A Greek (male) of 48, diabetic for two months, entered Jan. 14, 1915, with 3.8% (65 grams) of sugar and moderate acetone reaction. There was no diacetic reaction present at entrance. After one starvation day he became sugar-free, but was kept on starvation one day longer and then started on vegetables in the usual way. After the third day a moderate amount of diacetic acid appeared in the urine and continued. The ammonia rose from 0.7 grams per day to 2.6 grams per day, and then varied from 0.3 to 1.5 grams per day. No symptoms of acidosis.
Jan. 18.
Carbohydrate, 15 grams.
Protein, 25 grams.
Fat, 150 grams—1360 calories. No glycosuria.
Jan. 20.
Carbohydrate, 15 grams.
Protein, 25 grams.
Fat, 200 grams—1571 calories. No glycosuria.
Jan. 24.
Carbohydrate, 25 grams.
Protein, 35 grams.
Fat, 200 grams—1760 calories. No glycosuria.
Jan. 26.
Carbohydrate, 35 grams.
Protein, 40 grams.
Fat, 200 grams—1838 calories. No glycosuria.