Fat, 55 grams. No glycosuria.
Calories, 625.

Nov. 11.
Protein, 38 grams.
Carbohydrate, 20 grams. No glycosuria.
Fat, 88 grams.
Calories, 1055.

Nov. 13 two tablespoonfuls of oatmeal were added to her diet, making
the carbohydrate intake about 30 grams. This day she showed .6% sugar.
She was starved for half a day and became sugar-free again.

On Nov. 16 she was taking protein 40, carbohydrate 20, fat 90,
calories 1080, and had no glycosuria.

Nov. 17 her diet was protein 43, carbohydrate 25, fat 140, calories
1538, and on this diet she showed .5% sugar. The carbohydrate was cut
to 15 grams, and kept at this level for 3 days, but she still
continued to excrete a trace of sugar, and so on Nov. 21 she was
starved again, immediately becoming sugar-free. From this her diet was
raised, until on discharge, Nov. 30, she was taking: protein 48,
carbohydrate 15, fat 110, calories 1280, and was sugar-free, having
been so for 9 days.

At entrance she weighed 56 pounds, at discharge 54, and lost 4 pounds
during starvation, part of which she gained back again. On the diet
which she was taking at discharge, she was just about holding her
weight. She never excreted much acetone or diacetic acid, and when she
was discharged there was merely the faintest traces of these in the
urine.

It is not well to raise the diet quite so rapidly as was done in this
case, but for special reasons she had to leave the hospital as soon as
possible, and so her diets were pushed up a little faster than would
ordinarily be the case.

Below is a graphic chart, such as we use in recording our cases. It
has been split up into several pieces here on account of its size:

[Illustration: Case 8. A chart tracking Urine and Calorie Intake for
the month of April.]

[Illustration: A chart tracking Carbohydrate and Protein Intake for
the month of April.]

[Illustration: A chart tracking per cent. of sugar for the month of
April.]

[Illustration: A chart tracking sugar output for the month of April.]

[Illustration: A chart tracking ammonia for the month of April.]

[Illustration: A chart tracking acetone and diacetic acid for the month
of April.]

[Illustration: A chart tracking weight in pounds for the month of
April.]

EXAMINATION OF THE URINE.

_Directions for Collecting Twenty-four Hour Urine._

Pass the urine at 7 a.m. and throw it away.

Save all the urine passed after this up to 7 a.m. the next day. Pass
the urine ex