Case histories in pediatrics : a collection of histories of actual patients selected to illustrate the diagnosis, prognosis and treatment of the diseases of infancy and childhood, with an introductory section on the normal development and physical examination of infants and children / by John Lovett Morse.

  • Morse, John Lovett, 1865-1940.
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: Case histories in pediatrics : a collection of histories of actual patients selected to illustrate the diagnosis, prognosis and treatment of the diseases of infancy and childhood, with an introductory section on the normal development and physical examination of infants and children / by John Lovett Morse. Source: Wellcome Collection.

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    The urine contained acetone the next day, however, al¬ though the amount of carbohydrates in the food was the same. The amount of carbohydrates was, therefore, gradually in¬ creased, so that on August 17 he was taking 76 grams. He passed on that day 470 ccm. of urine of a specific gravity of 1,026, which contained 2.3% or 10.8 grams of sugar, but no acetone. It was evident, therefore, that his tolerance for carbo¬ hydrates lay somewhere between 38 grams and 7^ grams. A little more experimenting showed that he could take about 55 grams of carbohydrates without the appearance of sugar in the urine, and that this amount prevented the formation of the acetone bodies. The diet and the examination of the urine on August 29 were as follows: Calories. Carbohydrates. Cereal, ij oz. = 37-5 8.2 grams. Rice, IJ oz. = 67-5 15 grams. Bread, 2 oz. = 150 30 grams. Meat, 5J oz. = 330 • « Eggs, 4 = 288 • • Butter, IJ oz. = 337-5 • • Broth, 6 oz. = • • • ♦ • Cucumber, 4 oz. ' • • • 1,210.5 • « 53.2 grams. He passed 650 ccm. of urine of a specific gravity of 1,016, which contained neither sugar nor acetone. On this diet he held his weight and had no symptoms. This diet should, therefore, be continued. It is unnecessary to consider the use of any of the so-called diabetic foods’’ when he can take as much carbohydrate as at present.