* * * *

Case 8. M. M., female, 12 years, entered the Children's Hospital April
1, 1915. She had probably had diabetes for about 6 months, and had
been on a general diet at home. (See charts on pp. 31-36.)

On the ordinary diet of the ward she showed 8.7% sugar, no acetone or
diacetic acid. Weight, 52-1/4 pounds,--a very thin, frail girl. She
was starved two days, taking about 1-1/2 oz. of whiskey in black
coffee each day.

The first day of starvation the sugar dropped to 2.3%, and a slight
trace of acetone appeared in the urine. The second day of starvation
she was sugar-free, with a moderate acetone reaction. No soda
bicarbonate was given. She lost 2 pounds during starvation. After she
became sugar-free, her diets were as follows:

April 5.
Whiskey, 1-1/2 ounces.
Protein, 5 grams.
Carbohydrate, 12 grams.
Fat, 7 grams. No glycosuria.
Calories, 213.

April 6.
Whiskey, 1-1/2 ounces.
Protein, 26 grams.
Carbohydrate, 18 grams.
Fat, 46 grams. No glycosuria.
Calories, 768.

April 8.
Whiskey, 1-1/2 ounces.
Protein, 45 grams.
Carbohydrate, 22 grams.
Fat, 72 grams. No glycosuria.
Calories, 1050.

April 9.
Whiskey, 1-1/2 ounces.
Protein, 58 grams.
Carbohydrate, 36 grams.
Fat, 86 grams. No glycosuria.
Calories, 1309.

From this her diet was raised gradually until on April 16 she took the
following:

Bacon, 4 slices.
Oatmeal, 2 tablespoonfuls.
Bread, 2 slices.
Meat, 1 ounce.
Cabbage, 5 tablespoonfuls.
Spinach, 5 tablespoonfuls.
String beans, 5 tablespoonfuls.
Butter, 2 ounces.

This calculated to,

Protein, 64 grams.
Carbohydrate, 63 grams.
Fat, 113 grams.
Calories, 1546.
On this diet she excreted .40% sugar.

The next day the bread was cut down to one slice, and her sugar
disappeared. On April 20 she was taking 4 tablespoonfuls of oatmeal
and one slice of bread with her meat and vegetables, and was
sugar-free. This diet contained:

Protein, 63 grams.
Carbohydrate, 59 grams.
Fat, 112 grams.
Calories, 1521.

On April 21, on the same diet, she excreted 1.1% sugar. The next day
her oatmeal was cut to 2 tablespoons, giving her about 10 grams less
carbohydrate. No glycosuria. She was discharged April 24, sugar-free
on

Protein, 63 grams.
Carbohydrate, 50 grams.
Fat, 112 grams.
Calories, 1510.

There had never been any diacetic acid in her urine, and only a trace
of acetone. She lost abo