[Skip to Content]
[Skip to Content Landing]
May 4, 1918


JAMA. 1918;70(18):1300. doi:10.1001/jama.1918.02600180028013

In the modern treatment of diabetes by a rigorous dietary regimen, the difficulties presented in certain cases by the necessity of reduction of the intake of all types of foodstuffs often offer a most perplexing problem to the practitioner. When the "strict" diet involving merely the complete omission of all forms of carbohydrate came into vogue, the difficulties seemed to be avertible by an increase in the allowance of protein and fat so that the total calory intake would still be abundant. The foremost aim of many therapeutists seemed to be to conserve the weight of the patient quite as much as to stop the elimination of unburned sugar. But it is recognized today that in a severe case of diabetes not only sugar but also protein and fat may be incompletely oxidized by the organism.

To avoid the always unfavorable production of undesirable intermediary products that thus result, it