Chronic Diabetes Diet

Diet. Soups

Soups or broth of beef, chicken, mutton, veal, oysters, clams, terrapin or turtle (not thickened with any farinaceous substances), beef tea.

Fish

Shell fish and all kinds of fish, fresh, salted, dried, pickled or otherwise preserved (no dressing containing flour).

Eggs

In any way most acceptable.

Meats

Fat beef, mutton, ham or bacon, poultry, sweetbreads, calf's head, sausage, kidneys, pig's feet, tongue, tripe, game (all cooked free of flour, potatoes, bread or crackers).

Farinaceous

Gluten porridge, gluten bread, gluten gems, gluten biscuits, gluten wafers, gluten griddle cakes, almond bread or cakes, bran bread or cakes.

Vegetables

String beans, spinach, beet-tops, chicory, kale, lettuce, plain or dressed with oil and vinegar, cucumbers, onions, tomatoes, mushrooms, asparagus, oyster plant, celery, dandelions, cresses, radishes, pickles, olives.

Desserts

Custards, jellies, creams (without any sugar), walnuts, almonds, filberts, Brazil nuts, cocoanuts, pecans.

Drinks

Tea or coffee (without any sugar), pure water, pepto-nised milk, buttermilk.

Avoid

Liver, sugars, sweets or starches of any kind, wheaten bread or biscuits, corn bread, oatmeal, barley, rice, rye bread, arrowroot, sago, macaroni, tapioca, vermicelli, potatoes, parsnips, beets, turnips, peas, carrots, melons, fruits, puddings, pastry, pies, ices, honey, jams, sweet or sparkling wines, cordials, cider, porter, lager, chestnuts, peanuts.

Substitutes For Starch And Sugar

Gum Gluten Flour can be made into bread and a great variety of dishes, and is the most satisfactory substitute for the wheat flour bread or bread in common use, and the effects are particularly noticeable in the reduction of sugar in the daily tests.

Sweetina is in the pure crystal form, and is made into a syrup by adding cold water. Distilled water is preferable. It is sold in small bottles at 25 cents each, the contents of which is equal to eight pounds-of sugar in sweetening power.

One bottle of crystals makes one pint of syrup, of which a, teaspoonful is equal to a cupful of sugar.

Sweetina is an improved product from coal tar.

A Diabetic Chart. Joslin And Goodall

The intelligent management of a case of diabetes mellitus requires frequent comparisons between the diet, the urinary-analyses and the weight of the patient. These data are often printed or written down in four or five different places, and the labor of uniting them is so great that it is seldom attempted. Any accurate study of a case is thus extremely difficult, and in hospitals past records are almost useless. To facilitate the treatment of diabetic patients and to eliminate some of the annoying sources of error, we have used a chart for some years upon which some of these facts were recorded. Our chart was designed chiefly for the benefit of the physician, in contrast to the charts in use in various German clinics, which have a broader application and are of direct help not only to the physician, but also to the nurse and the patient as well. By this latter arrangement the chart becomes the nurse's record, and upon it the nurse writes what the patient actually eats. We have attempted to combine the two methods on the following chart, and hope that it will be found helpful and suggestive in the treatment of diabetic patients.

Space is reserved upon the chart for the Doctor's orders, and the nurse's record, as well as the urinary analyses. There is given, in addition, a statement of the foods commonly allowed in a strict diabetic diet, with the percent of carbohydrates in other foods which are occasionally employed.

1A. Diabetic Chart by Elliott P. Joslin, M.D., and Harry W. Goodall, M.D., Boston, Mass. (Reprinted from the Boston Medical and Surgical Journal, Vol. clviii, No. 8, pp. 248-251, Feb. 20, 1908.) D. C. Heath & Co., 120 Boylston St., Boston, Mass.