nd the amount to be used weighed after they
have been boiled in clean, separate water to reduce their carbohydrate
content still further.

~Commercial Diabetic Foods.~--It may be well to mention the danger of
putting faith in the so-called diabetic foods so widely advertised.
Some of these foods are of undoubted worth, but it is never safe for
the nurse or the patient to judge of the merits of the various
diabetic foods without first knowing their chemical composition, and
not even then without the definite directions from the physician.

~Diabetic Flours.~--The diabetic flours used in the recipes included
in this text have been approved by some of the leading specialists in
diabetes in this country, but the nurse should not include them in the
diet for her patient unless they are prescribed by the physician in
charge.

PROBLEMS

(a) Outline test diets for determining the severity of the
disturbance.

(b) Give examples of diets used in testing for tolerance of
carbohydrates, fats, proteins.

(c) Give an example of a diet order showing the use of the high fat
method of feeding. Why is it used?

FOOTNOTES:

[137] Allen's Paradoxical Law, quoted from "Treatment of Diabetes
Mellitus," p. 18, by Joslin.

[138] "Treatment of Diabetes Mellitus," p. 305, Joslin.

[139] "Food for the Sick," by Strouse and Perry.

[140] Courtesy of Dr. Joslin and Thomas Groom & Co., Boston.

[141] The giving of coffee or clear broth, with or without whisky,
does not materially affect the starvation and serves to make the
patient more comfortable during this trying period.

[142] Dr. Joslin has given a very complete schedule in his "Treatment
of Diabetes Mellitus," from which the above schedule is taken.

[143] Hill and Eckman's "Starvation (Allen) Treatment of Diabetes."

[144] See 5% vegetable, p. 383.

[145] Table used by Dr. Joslin in his treatment of diabetes mellitus.
It is convenient, and many changes in the diet may be made by
substituting one food for another of like carbohydrate content. This
table can be purchased on cards from Thomas Groom & Co., Boston, Mass.

[146] Table devised by H. O. Mosenthal showing accessory diets rich in
carbohydrates. "Medical Clinics of North America," July, 1917.

[147] "h" represents household measure.

[148] Mosenthal: "Medical Clinics of North America," July, 1917.

[149] "Starvation Treatment of Diabetes," by Hill and Eckman.

[150] "Practical Dietetics," by Alidia Pattee