3 tablespoonfuls.
Spinach, 4 tablespoonfuls.
Bacon, 4 slices.
Butter, 2 ounces.
Eggs, 3.
Bread, 1/2 slice.
Cereal, 2 tablespoonfuls.
Meat, 3 ounces.
Protein, 63 grams.
Carbohydrate, 31 grams.
Fat, 113 grams.
Calories, 1402.

For the first few days after entrance he showed a moderate amount of
acetone and a slight amount of diacetic acid in the urine; for the
rest of his stay in the hospital these were absent. His weight at
entrance was 31-1/2 pounds; he lost no weight during starvation, and
weighed 32-1/2 pounds on discharge.

He was kept on approximately the same diet, and was followed in the
Out-patient Department, and on two occasions only did his urine
contain a small trace of sugar and of acetone (July 31 and Oct. 16,
1915). Nov. 9 his mother brought him in, saying he had lost his
appetite, which had previously been good. The appearance of the boy
was not greatly different than it had been all along, but his mother
was advised to have him enter the wards immediately, so that he could
be watched carefully for a few days. She refused to leave him, but
said she would bring him in to stay the next day. She took him home,
and he suddenly went into coma and died that night. This was a most
unfortunate ending to what seemed to be a very satisfactory case. The
boy's mother was an extremely careful and intelligent woman, and it is
certain that all directions as to diet were carried out faithfully.

He had never shown any evidence of a severe acidosis, but he must have
developed one very suddenly.

* * * * *

Case 11. V. D., 11 years, female, was admitted to the Children's
Hospital Nov. 3, 1915. She had had diabetes for at least a year. On
house diet, containing about 90 grams of carbohydrate, she excreted
6.9% of sugar, with moderate acetone and diacetic acid reactions in
the urine.

Starting Nov. 5, she was starved 3 days. The first day of starvation
the sugar dropped to 3.5%, the second day to 1.1%, and the third day
she was sugar-free with a little more acetone in the urine than had
been present before, but not quite so much diacetic acid. From then
her diet was raised as follows:

Nov. 8.
Protein, 9 grams.
Carbohydrate, 20 grams.
Fat, 9 grams. No glycosuria.
Calories, 200.

Nov. 9.
Protein, 7 grams.
Carbohydrate, 15 grams.
Fat, 35 grams. No glycosuria.
Calories, 415.

Nov. 10.
Protein, 17 grams.
Carbohydrate, 15 grams.