ptly and were discharged sugar-free.

* * * * *

Case 1. A woman of 64, diabetic for two years. She was sent in from
the out-patient department, where she had been receiving a diet of 50
grams of carbohydrate and 50 grams of protein. On this diet she was
putting out 8 grams of sugar a day with moderately strong acetone and
diacetic acid reactions in her urine. When the carbohydrate was cut in
the ward to 30 grams, she put out 3 grams of sugar a day. She
complained of severe pruritus vulvae. After sixteen days of this
treatment she continued to put out from 0.1% to 0.2% of sugar a day.
Allen's treatment was then started, and after one day of starvation
she was sugar-free and remained so for four days on a diet of
carbohydrate, 20 grams; protein, 30 grams; fat, 150 grams. The
itching had gone. Then the protein was raised to 80 grams, with the
carbohydrate at 20 grams, and she immediately showed 1.5% of sugar.
This is very important; the protein should not be raised too quickly.
This we did not realize in our earlier cases.

A second starvation day, followed by two vegetable days, and a more
careful raising of the diet--as follows--kept her sugar-free, and she
was discharged so. Her diets were:

Dec. 12.
Carbohydrate, 20 grams.
Protein, 30 grams.
Fat, 150 grams--1500 calories. No glycosuria.

Dec. 15.
Carbohydrate, 30 grams.
Protein, 30 grams.
Fat, 200 grams--2000 calories. No glycosuria.

Dec. 20.
Carbohydrate, 30 grams.
Protein, 40 grams.
Fat, 180 grams--2000 calories. No glycosuria.

Dec. 26.
Carbohydrate, 40 grams.
Protein, 40 grams.
Fat, 180 grams--2000 calories. No glycosuria.

Dec. 30.
Carbohydrates, 50 grams.
Protein, 50 grams.
Fat, 180 grams--2000 calories. No glycosuria.
Weight on entrance, 119 pounds.
Weight at discharge, 116 pounds.

* * * * *

Case 2. A Jew of 49, at entrance had 175 grams of sugar (5.5%),
acetone slight, diacetic acid absent. Treated for three weeks with the
old method, he got down to a diet containing carbohydrate, 15 grams;
protein, 50 grams,--but still put out from 3 to 8 grams of sugar a
day. By the old method we could not do away with the last traces of
sugar.

The Allen treatment was started with two starvation days. On the
second he was sugar-free--but showed 2.6 grams of sugar the following
day on 12 grams of carbohydrate and 40 grams of protein. (This w