108 DIABETES MELLITUS 



SHORT POPULAR DIETETIC RULES FOR DIABETICS 



No food is to he given to a diabetic in unrestricted amount! The folloTV- 

 ing rules are not, therefore, to be understood as permitting any food in indis- 

 criminate quantity. The physician must decide in the beginning how much 

 of each food may be eaten, and the patient must comply with his orders. 

 These tables are, therefore, subject to variation. 



1. Meats: bouillon or meat broth; meat of any kind, stewed, grilled, 

 smoked or preserved. The addition of flour or bread in the preparation of 

 meat is to be avoided; hence, Wiener schnitzel, stuffing of meat, stuffing of 

 chicken, etc., are forbidden. 



The kind of meat is of little importance except for the amount of fat it 

 contains ; the patient may take beef, pork, mutton, veal, goat, game, venison, 

 birds, etc. The part of the body used for food is also of little account ; muscle, 

 kidney, pancreas, brain, giblets, are all allowed. On account of the glycogen 

 it contains, liver forms an exception and is forbidden. 



Flour and bread should not be used in the preparation of sauces. 



2. Fish of any kind are allowed. Still, as they do not contain the same 

 percentage of fat, they are of different values. The fattest are the eel, river 

 lamprey and herring ; most others are lean. Lobster and crab have the same 

 value as lean fish. The same rules apply to their preparation as to that of 

 meat. Shell-fish, oysters and snails are not advisable on account of their 

 high percentage of glycogen. 



3. Eggs and fat-foods. Eggs of any kind and preparation (without flour) 

 are allowed; also good sausage (except liver sausage), ham, bacon, caviar, 

 Strassburg goose-liver, sardines, fat, cheese, butter, oil, etc. 



4. Milk preparations. Small quantities of not too sweet cream are allowed, 

 also sour milk from which the milk-sugar has at least partially disappeared 

 through fermentation. Eegarding milk, special orders from the physician 

 must be obtained. 



5. Vegetables and starchy foods. Of vegetables we allow spinach, cauli- 

 flower, French beans, asparagus, lettuce, cucumbers, small quantities of celery 

 and of crisp cabbage, mushrooms and other edible fungi (except truffles) 

 and sauerkraut, as much fermented and as old as possible. 



Prohibited are flour, rice, cereals, sago, tapioca, potatoes, peas, lentils, 

 dried beans, green peas, yellow, white and red beets, horseradish, arrow-root, 

 and corn-starch. 



The orders of the physician must be strictly followed as to the amount of 

 bread to be taken in twenty-four hours. 



Gluten bread, Graham bread, aleuronat bread, which are recommended as 

 substitutes for ordinary wheat and rye bread, are, on account of the larger or 

 smaller amount of flour they contain, to be used only after consulting the 

 physician. 



6. Fruits, etc. Advisable are mandarins, oranges, currants, raspberries, 

 gooseberries and strawberries, but especially cranberries; also nuts and 

 almonds. 



7. Beverages: Allowed are water, mineral water, coffee, tea, red wine 



