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1,700 calories. The average for a man of middle height and sedentary work is
1,700 to 1,900 calories, and for a manual labourer 2,000 to 2,500 calories.
The advantages of such a diet are many. It is cheap, an obvious advantage to
the poor patient. The patient's sugar tolerance is improved, and hypoglycæmia
and glycosuria are more readily controlled. The general health of the patient and
sense of well being increases, and there is less liability to ketosis. With the increased
carbohydrate the insulin dosage need not, in the majority of cases, be increased and
in many may be decreased, provided the fat and calories are kept low. Simplicity
of the diet is of great importance for even "the average individual will follow a
prescribed diet only in direct proportion to its simplicity."14 Diet A is typical of
those used in the clinic.
diet A.
(Foods prescribed in ounces.)
Calories 1,817. Carbohydrate, 166 grms. Protein,
79 grms. Fat, 93 grms. (arranged for insulin
"b. d.")
C. P. F.
Breakfast:—
Egg: 1 0 6 6
Bread: 3 oz. 54 9 0
Butter: ¾ oz. 0 0 18
Milk: 4 oz. in 2 cups unsweetened
tea or coffee 6 4 4
60 19 28
Dinner :—
Lean meat 0 24 15
or chicken: 3 oz 0 (24) (12)
or fish: 4½ oz. 0 (27) 0
(With fish take ½ oz. butter or fat) 0 0 (12)
Potato: 1½ oz. 9 1½ 0
Vegetables: 6 oz. greens, lettuce,
cabbage, cauliflower,
or 4 oz. Brussels sprouts, turnips,
tomatoes,
or 3 oz. carrots, leeks, onions 5 0 0
Apple or orange: 2½ oz. 5 0 0
19 25½ 15
Tea:—
Bread: 1 oz. 18 3 0
Butter: ½ oz. 0 0 12
Milk: 2 oz. in unsweetened tea 3 2 2
Egg:1 0 6 6
21 11 20
Supper:—
Lean meat 0 12 8
or chicken: 1½ oz. 0 (12) (4½)
or fish: 3 oz. 0 (18) 0
(With fish take ¼ oz. butter or fat) 0 0 (6)
Vegetables: As for dinner 5 0 0
Bread: 2½ oz. 45 7½ 0
Butter: ¾ oz. 0 0 18
Apple or orange: 5 oz. 10 0 0
Milk: 4 oz. in 2 cups unsweetened
tea or coffee 6 4 4
66 23½ 30
Total 166 79 93
Supper (Alternative): —
Cheese: 1 oz. 0 8 11
or eggs: 2 0 (12) (12)
Tomatoes: 4 oz. or large helping
of lettuce 5 0 0
Bread: 2½ oz. 45 7½ 0
Butter: ¾ oz. 0 0 18
Apple or orange: 5 oz. 10 0 0
Milk: 4 oz. in 2 cups unsweetened
tea or coffee 6 4 4
66 19½ 33
DIET B.
(Food prescribed in portions.)
Egg: 1.
Bread: 3 portions (No. 1).
Butter: 1½ portions (No. 3).
Milk: 4 oz. in 2 cups of unsweetened tea or coffee.
Lean meat,
or chicken : 2 portions (No. 5),
or fish: 3 portions (No. 5).
(With fish take 1 portion of butter (No. 3) ).
Potato: ½ size No. 6.
Vegetables: 4 tablespoons (or more) of greens,
lettuce, cabbage, cauliflower,
or 3 tablespoons of Brussels sprouts, tomatoes,
turnips,
or 2 tablespoons of carrots, leeks, onions.
Apple or orange: ½ size No. 7.
Bread: 1 portion (No. 1).
Butter: 1 portion (No. 3).
Milk: 2 oz. in unsweetened tea.
Egg: 1.
Lean meat
or chicken: 1 portion (No. 5).
or fish: 2 portions (No. 5).
(With fish take ½ portion of butter (No 4) ).
Vegetables: As for dinner.
Bread: 2 portions (No. 1).
½ portion (No. 2).
Butter: 1 portion (No. 3).
½ portion (No. 4).
Apple or orange: 1 size No. 6.
Milk: 4 oz. in 2 cups unsweetened tea or coffee.
N.B.—The figures in parenthesis refer to the
number of the model used in estimating the size of
a portion of the given food (see below).