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Part 27

The Starvation Treatment of Diabetes · Lewis Webb Hill — chapter 27 of 28 · ~715 words · public domain

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String beans 50 grams. Egg 1. Egg 1. Black coffee. Asparagus 50 grams. Cabbage 50 grams. Tea. Tea.

Protein 15 grams, Fat 12 grams, Carbohydrate 4 grams, Calories 185.

FOURTEENTH DAY.

BREAKFAST. DINNER. SUPPER.

Egg 1. Roast chicken 50 grams. Egg 1. String beans 100 grams. Asparagus 100 grams. Cauliflower 100 grams. Coffee. Cabbage 100 grams. Tea. Cream 1 tbsp. Tea. Cream 1 tbsp. Cream 1 tbsp.

Protein 34 grams, Fat 32 grams, Carbohydrate 10 grams, Calories 478.

FIFTEENTH DAY.

BREAKFAST. DINNER. SUPPER.

Egg 1. Squab 100 grams. Egg 1. Tomatoes 50 grams. String beans 100 grams. Cold chicken 25 grams. Coffee. Cauliflower 150 grams. Lettuce 50 grams. Cream 2 tbsp. Butter 1 square. Spinach 50 grams. Custard made with 1 Tea. egg, 4 tbsp. cream Cream 2 tbsp. and 2 tbsp. water sweetened with saccharine. Tea.

Protein 53 grams, Fat 100 grams, Carbohydrate 15 grams, Calories 1208.

Patient discharged with advice as to diet.

FOOD VALUES.

An estimate of the quantity or bulk of food may be of assistance or interest. There is so much variation in the size of tablespoons or what may be termed either rounding or heaping tablespoons that it must be remembered that we can only estimate. Patients who are instructed how to feed themselves on leaving the hospital are cautioned carefully to take about the quantity of an article of food they have been served while in the hospital when the diet is weighed. Any written advice is always given in quantities known to be under the carbohydrate or protein tolerance of the patient. However, if they will boil the vegetables and change the water at least twice, so much carbohydrate is removed that it is quite possible for them to obtain a comfortable bulk and still take in very small quantities of carbohydrate.

100-Gram Portions.

Asparagus--8 or 9 stalks 4 inches long. Beans (string) (cut in small pieces) 3 heaping tablespoons. Bacon--4 slices 6 inches long, 2 inches wide. Cabbage (cooked)--3 heaping tablespoons. Cauliflower--3 rounding tablespoons. Celery--6 pieces 4-1/2 inches long, medium thickness. Cheese--a piece 4 inches by 1-1/2 inch by 1 inch. Cucumbers--12 slices 1/8 inch thick, 1/2 inch in diameter. Greens (spinach, kale, etc.)--2 heaping tablespoons. Lettuce--10 to 12 medium-sized leaves. Onions--2 onions, size of an egg. Olives--25 small olives. Peas--3 rounding tablespoons. Potatoes (baked)--1 small potato, size of egg. Potatoes (mashed)--2 rounding tablespoons. Sardines--28 sardines--1 small box. Salmon--1/4 can (almost). Tomatoes--2-1/2 heaping tablespoons. Tomatoes--fresh, one medium sized tomato, 2 inches in diameter.

Bacon loses about half of its fat content when cooked.

Other Weights.

1 tablespoon olive oil = 13 grams 1 tablespoon mayonnaise = 21 " 1 thin slice of bread (baker's loaf) = 25 " 1 medium sized orange = 150 " 1 peach = 125 " 1 medium sized apple = 150 " 1/2 small grape fruit = 150 " 1 medium sized lamb chop with bone = 100 " 1 medium sized slice cold tongue = 25 " 1 slice tenderloin steak 1 in. thick = 100 " 1 average helping of fish = 100 " 1 average helping of butter = 10 " 1 average sized egg = 50 " 1 average helping of cooked green vegetables such as spinach, cabbage, cauliflower, asparagus, etc. (2 tablespoons) = 100 " 1 average helping boiled cereal = 100 " 1 potato, size of large egg = 100 "

It is not true that all the vegetables weigh the same, but for the sake of simplicity in most of the diets it has been reckoned that two heaping tablespoons of any one of the "5%" vegetables weighs 100 gms.

The following food values are taken from Locke's Abstract of Atwater and Bryant's Bulletin No. 28, 1906, United States Department of Agriculture.

Fractions of per cents. have been left off in order to make the use of the table more simple, and the values given will be found quite accurate enough for clinical purposes.

Food Stuffs. Quantity. Protein. Fat. Carbohydrate. Total Raw. Grams. Grams. Grams. Calories.

MEAT.

Beef 100 gms. 22 28 350 Chicken " " 32 4 168 Bacon (raw) " " 10 64 636

FISH.

Fish (average) " " 20 7 147 Oysters " " 6 1 3 46

EGGS.

Eggs " " 13 12 165 Eggs 1 egg 7 6 84

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