ut 2 pounds during starvation, but gained part
of it back again, so that at the discharge she weighed just a pound
less than when she entered the hospital. She has been reporting to the
Out-patient Department every two weeks, and has never had any sugar,
acetone or diacetic acid in the urine, and appears to be in splendid
condition. She is taking just about the same diet as when she left the
hospital.

A rather mild case, which responded readily to treatment. The question
is, can she grow and develop on a diet which will keep her sugar-free?

* * * * *

Case 9. M. D., female, age 3-1/2 years, entered April 7, 1915, with a
history of having progressively lost weight for a month past, and of
having had a tremendous thirst and polyuria. Had been on a general
diet at home. At entrance the child was in semi-coma, with very strong
sugar, diacetic acid and acetone reactions in the urine. For the first
12 hours she was put on a milk diet, with soda bicarbonate gr. xxx
every two hours, and the next day was starved, with whiskey 1 drachm
every 2 hours, and soda bicarbonate, both by mouth and rectum. She
died after one day of starvation. This is hardly a fair test case of
the starvation treatment, as the child was already in coma and almost
moribund when she entered the hospital. When a diabetic, old or young,
goes into coma, he rarely comes out of it, no matter what the
treatment is.

* * * * *

Case 10. H. S., male, 6 years, entered April 29, 1915. Duration of his
diabetes uncertain; not discovered until day of entrance. An
emaciated, frail looking boy. He would eat very little at first, and
on ward diet, containing 31 grams of protein, 73 grams of
carbohydrate, and 20 grams of fat, he excreted 5.7% of sugar, with a
moderate amount of acetone, and a very slight trace of diacetic acid.

May 2 he was starved, taking 1-1/2 ounces of whiskey. One day of
starvation was enough to make him sugar-free. His diet was gradually
raised, until on May 7 he was taking 32 grams protein, 33 grams
carbohydrate, and 75 grams fat, and was sugar-free, with absent
diacetic acid and acetone. May 9 his carbohydrate intake was raised to
45 grams and he excreted .40% sugar. May 10 it was cut to 40 grams,
and he excreted 2.2% sugar.

May 11 it was cut to 20 grams, and he became sugar-free and remained
so until June 8, when he was discharged, taking the following diet:

String beans,