THE HIGHER CARBOHYDRATE DIET METHOD IN DIABETES MELLITUS

Abstract
During the past seven years we have observed the effects of diets which, so far as their carbohydrate content is concerned, are more liberal than the so-called classic or strict diabetic diets. At first, the interest of one of us (W. D. S.) in this type of diet was (1) to learn how much carbohydrate could be substituted for fat in the diet of a diabetic patient taking a constant dose of insulin, without producing glycosuria, and (2) to perfect the older diabetic diets from a nutritional standpoint. Any one who has prescribed the older diets will recognize their nutritional deficiencies. Sansum, Blatherwick and Bowden1reported in 1926 that they had "been able to substitute more than an equal number of grams of carbohydrate for the fat omitted." Subsequently it was observed that even greater liberality as concerns carbohydrate could be permitted the diabetic patient without apparent detriment. The

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