38 



METABOLISM IN SEVERE DIABETES. 



grams of carbohydrate was reached February 18, 1910, but after April 21 of 

 that j r ear sugar was seldom absent until the patient's death. 



The reaction of the urine was acid throughout, except upon April 30, 1908. 

 Diacetic acid was present when the patient was first seen, but disappeared 

 when the urine became sugar-free, not returning until September 1910. The 

 /3-oxybutyric acid reached 14.3 grams upon September 23-24, 1910, but the 

 ammonia was low, which was due in part to the sodium bicarbonate admin- 

 istered. 



Table 34. Clinical chart Case O. 



1 12 hours. 2 Vegetable day. 3 Oatmeal day with 120 c.c. cream and 215 gms. butter. 



* Vegetable day, with 240 c.c. cream. 'Vegetable day, 240 c.c. cream, 4 eggs. 



6 Oatmeal day, 240 gms. oatmeal, 240 gms. butter, 120 c.c. cream. 



EXPERIMENTS WITH CASE O. 



Four respiration experiments were carried out with this subject, of vary- 

 ing character. The vital statistics are as follows: 



Date of birth, August 16, 1894; height, 173 cm.; range in body-weight 

 without clothing during experiments, 52.3 to 52.8 kilos. 



Respiration Experiment No. 01. 



Date, September 22, 1910. Body-weight without clothing, 52.8 kilos. 



On the day of the experiment the subject reached the laboratory, fasting, 

 at 8 h 05 m a. m., and lay down on the couch immediately after the pneumograph 

 had been adjusted. The stethoscope was not used in this experiment, the pulse- 



