1. A thorough preliminary examination and repeated examinations comprising (a) complete quantitative examination of the urine daily, (b) differential study of the blood, (c) chemical, microscopic and bacteriological examination of the feces and study of the pancreatic function, (d) X-ray examination of the stomach and intestine with special reference to stasis.
2. Study of the patient’s metabolism by the respiration apparatus to determine his respiratory quotient, CO2 tension and basal ratio.
3. Establishment, by the aid of metabolism studies of each case, of a regimen adapted to the individual by determining the proper proportion of protein, fats and carbohydrates to keep the urine free from sugar. The kind of protein, fat and carbohydrate is considered important, as well as the amount.
4. The patient’s metabolism is regulated by baths, voluntary and automatic exercise, photo- and thermotherapy and other physiologic means.
5. The results of the regimen and treatment are accurately controlled by a “Metabolism Graphic” which shows the daily variations in the amount of urine, amount of sugar, acidosis, coefficient of sugar utilization, coefficient of carbohydrate utilization, nitrogen balance, glucose nitrogen ratio, weight balance and energy balance. These factors are all worked out by expert chemists and dietitians and with this data before him, and a great variety of special foods of known energy value suited to diabetics at ready command, and the assistance of a strong corps of specially trained dietitians, the physician is able easily to arrange a dietary adapted to each case and to note each patient’s progress with the most careful scrutiny.
Under this comprehensive management the sugar usually disappears from the urine in two or three days, and does not return so long as the prescribed regimen is followed.
A few weeks’ treatment usually suffices to train the patient to a suitable dietary which he may safely follow under the guidance of his home physician.
We will be glad to send full information concerning the Battle Creek Method in Diabetes to any physician who will mail to us the attached coupon.
The Battle Creek Sanitarium, Battle Creek, Mich.