equently there is
an abnormal amount of glucose in the urine.

~Manufacture of Sugar~ in the body from other food constituents
besides carbohydrates has been proved with regard to proteins, hence
the intake of nitrogenous substances must be restricted in
diabetes--to a less extent, however, than the sugars and starches.

~Acetone Bodies.~--Diacetic acid, oxybutyric acid, and acetone
develop in diabetes as a result of the breaking down of the fats and
the lack of certain neutralizing agents found chiefly in carbohydrate
foods.

~Acidosis~ is a form of intoxication due to the retention of these
toxic acids in the body. If not combated and overcome, it will result
in the diabetic coma which is fatal in so many cases.

~Diet Treatments.~--The best known treatments are those devised and
used by Drs. Allen and Joslin "The Starvation Treatment for Diabetes
Mellitus," and the "High Fat Diet" formulated by Drs. Newburg and
Marsh. All cases cannot be handled alike and it is for the physician
to determine the treatment calculated to give the best results in the
definite case.

~Training for Diabetic Nursing.~--So much depends upon the
administration of the treatment in this pathological condition that in
many hospitals special training is being given to the nurses in the
care of diabetic patients that they may be able intelligently to carry
out the necessary regime, both in the hospital and in private
practice.

~Symptoms.~--She must be able to recognize symptoms both from the
findings resulting from the urinalysis and from those manifested
otherwise by the patient.

~The Record.~--She must keep an absolute record of all that occurs
during the course of treatment and instantly report any unusual
happening.

~Urine Tests.~--It is advisable to make the tests in the morning;
those for sugar and diacetic acid should be made every day or, in some
cases, every other day, as directed by the physician, and those for
ammonia and albumen about once a week.

~Weighing the Patient.~--Patient should be weighed each day before
breakfast, and the weight of the clothes also carefully recorded
separately.

~The Bowels~ must move daily, even if it is necessary to resort to
mild laxatives or an enema.

~Formulating and Calculating the Dietary.~--The menus of the day must
be formulated and the chemical composition and nutrient value of the
foods calculated. The vegetables belonging to the five per cent. group
should be in readiness a