64 



METABOLISM IN SEVERE DIABETES. 



at about the 

 acidosis was 



Urine data.- The greatest quantity of urine was 10,000 c.c. 

 time of onset. When the patient came under observation the 

 extreme; this is indicated by the 6 grams of ammonia shown in table 73, which 

 gives the urinary record during observation. The reaction of the urine during 

 this period was acid throughout, with a slight trace of albumen. The carbo- 

 hydrate balance was for the most part minus throughout. Beginning January 

 31, 1911, 22 grams of alcohol were given daily. 



Table 73. Clinical chart Case T. 



1 Whisky, 45 gms. daily throughout stay in hospital. 2 Per cent. 



'Urinary sediment contained many fine and coarse granular casts. 



4 18 hours. Urinary sediment, contained many hyaline, fine, and coarse granular casts. 



6 Vegetable day 240 c.c. cream, 4 eggs. 6 Oatmeal day, 240 gms. oatmeal, 240 gms. butter, 240 c.c. cream. 



EXPERIMENTS WITH CASE T. 



Two fasting experiments were made with this subject, in both of which the 

 bed calorimeter was used. A comparison of the data obtained is made in table 

 76. The vital statistics were as follows: 



Date of birth, 18G7; height, 180 cm.; range in body-weight without cloth- 

 ing during experiments, 51.3 to 51.5 kilos. 



Calorimeter Experiment No. Tl. 



Date, February 14, 1911. Body-weight without clothing, 51.5 kilos. 



Previous to this experiment no food had been taken by the subject since 

 the evening meal of the day before, with the exception of a cupful of coffee at 

 6 h 30 m a. m. When the subject arrived at the laboratory at 8 a. m. he appeared 

 to be a very weak, sick man, and somewhat apprehensive in regard to the 

 experiment. He was dressed in unusually warm, heavy clothing, and on enter- 

 ing the bed calorimeter, at 8 h 26 ra a.m., was also covered with a blanket. The 

 experiment began at 9 h 18 m a. m. and continued for two 45-minute periods, 

 ending at 10 h 48 m a. ra. During the whole experiment the subject lay very 

 quietly on his back, without reading, save near the close of the first period, 



