seems to be a
substantial step in advance, giving, as it does, a considerable bulk
of food without any considerable carbohydrate portion, and with the
semblance of some of the forbidden vegetables.

It is, of course, too early to say how far reaching and how permanent
the effects of such a diet will be in the severe and in the milder
cases of diabetes. All we can say is that thus far it appears to work
admirably well. To all who wish to give their patients the benefit of
this treatment I can heartily recommend this book.

Richard C. Cabot.

PREFACE TO FIRST EDITION.

The purpose of this little book is to furnish to the general
practitioner in compact form the details of the latest and most
successful treatment of diabetes mellitus.

The "starvation treatment" of diabetes, as advanced by Dr. Frederick
M. Allen of the Rockefeller Institute Hospital, is undoubtedly a most
valuable treatment. At the Massachusetts General Hospital it has been
used for several months with great success, and it is thought worth
while to publish some of the diets, and details of treatment that have
been used there, as a very careful control of the proteid and
carbohydrate intake is of the utmost importance if the treatment is to
be successful. In carrying out the Allen treatment the physician must
think in grams of carbohydrate and proteid--it is not enough simply to
cut down the supply of starchy foods; _he must know approximately how
much carbohydrate and proteid his patient is getting each day_. It is
not easy for a busy practitioner to figure out these dietary values,
and for this reason the calculated series of diets given here may be
of service. The various tests for sugar, acetone, etc., can, of
course, be found in any good text-book of chemistry, but it is thought
worth while to include them here for the sake of completeness and
ready reference. The food table covers most of the ordinary foods.

We wish to thank Dr. Roger I. Lee and Dr. William H. Smith, visiting
physicians, for many helpful suggestions.

PREFACE TO SECOND EDITION.

The Authors beg to thank the Profession for the cordial reception
given the first edition of this book. The present edition has been
revised and enlarged, with the addition of considerable new material
which we hope will be of use.

January, 1916.

DETAILS OF TREATMENT

DETAILS OF TREATMENT.

For forty-eight hours after admission to the hospital the patient is