The diet on which the patient has been is at once discontinued; this is best done by omitting the next meal. In the meantime the intestinal tract is evacuated, after which a high saline enema should be given. When the decline of the patient has been very rapid, and when the glycosuria and aceto-nuria are of a high degree of intensity, the exclusive "yolk cure" must be continued until general improvement has ensued. In other less pronounced cases it may suffice to have a "yolk day" twice or three times a week, while the regular pro-teid-fat (yolk) regimen is pursued on the other days. In a small percentage of the cases larger, amounts of carbohydrates may be permitted when the improvement has continued for some time. The additional carbohydrates should be given in the form of green vegetables, and not in that of flour, beans, rice, or potatoes. In whatever manner the yolk diet is altered, the yolks should continue to displace all other kinds of fat, and a strict "yolk day" should be pursued at least once or twice a week for a protracted period. In addition to this diet alkalies may be given to hold in check the acidosis. I add Dr. Stern's table for a sample diet

In order to avoid monotony, variety in soups, vegetables, flavoring, and seasoning substances should be planned. Here are some of Dr. Stern's recipes for yolk dishes.

Plain Yolks. Boil, shirr, or poach the whole egg. Only the yolk should be consumed.

Coffee

Stir the yolks of two raw eggs in a cup, then add one cup of hot coffee, stirring constantly.

Wine Soup

Let five ounces of red (sugar-free) wine and the same amount of water, a little cinnamon, and one clove come to a boil. Remove from the fire, and stir in the yolks of two or three eggs, stirring constantly. Add saccharin as sweetening, if desired.

Spinach And All Green Vegetables

Boil in salted water until very tender, drain, add pepper, and mash to pulp or press through colander. Then add to each ounce of pulp one raw yolk and mix well.

Salad Dressing

Mix the yolks of six raw eggs (well beaten) with salt, pepper, one teaspoonful of onion juice and mustard. Add juice of half a lemon.

Celery And Cauliflower Soup

Boil a stalk of celery (cut fine) in one-half pint of salted water until very tender, strain, and add to the boiling liquid the well-beaten yolks of five raw eggs. Season to taste.

Cauliflower which has been scalded is put on to boil with one-half pint of salted water; when very tender, the whole mixture is passed through a colander and returned to the fire, then the well beaten yolks of five raw eggs are added. Season to taste.

Soup Stock

For each plate of soup one-quarter pound of shin meat, one-quarter pound of bone, some celery, parsley, one onion, and half of a leek are required. Set on the fire with cold water, and boil slowly for five hours. Strain, pressing meat to a pulp so as to extract all the juice. Then add the yolks of five raw eggs, well beaten.

Eggnog

Mix one ounce of whiskey with three ounces of water, and shake or stir briskly with the yolks of two raw eggs, add nutmeg, cinnamon, or lemon.

All yolk dishes must contain salt in sufficient amount. Salt not only aids in the assimilation of the yolk constituents, but is absolutely essential for the proper conduct of the metabolic and osmotic processes.

The patient, as a rule, takes readily to the "yolk cure." Dr. Stern says some of his patients, although not eliminating acetone bodies any longer, continue, of their own volition, two or three "yolk days" in the week, and substitute as much as possible yolks for other fatty ingesta on the proteid fat days.

Generally, constipation does not supervene while the patient subsists on the "yolk cure." However, if it ensues, high enemas, to be followed by some saline cathartic or a good dose of castor-oil, to be followed by enteroclysis with common salt solution, should be at once administered. Remember, to enforce this diet, the patient must have competent medical supervision.

The proper general diet for the diabetic may be summed up thus, remembering the necessity of proper supervision.

Foods Allowed

Eggs come first. Eat them in any and all ways, raw or cooked.

Milk

The taking of milk needs supervision, on account of the sugar it contains. As a rule, it may be taken as it comes from the cow. Again it will be better to take the cream alone, or take the poured milk before spoken of in treating of diet of children. Now and again Devonshire cream, cream skimmed from hot milk so the albumin comes off with the cream, may be used. As a rule, butter may be freely used with exceptions as noted by Stern. Consult your physician about milk for the given case. Rennet custard sweetened with saccharin is most appropriate in many cases. Plain custards also come in if sweetened with saccharin. Eat ice cream sweetened with saccharin, fifteen to thirty grains to the quart.

For sugar use saccharin. It comes prepared with a little bicarbonate of soda in tablets, one or two of which will sweeten a cupful of most liquids. Levulose, or fruit sugar, also may be used, as may lactose, the sugar of milk. Glycerin is used sometimes. Of all these I prefer saccharin. Use even as little of this as possible. It rather slows digestion. It is three hundred times sweeter than cane sugar. One tablet in the market is one-seventh of a grain saccharin, one-third of a grain bicarbonate of soda, and eight grains of mannite. This will sweeten a cupful of most drinks. In pancreatic cases be particularly careful of any sweetening.

Fruits

Most fruits are forbidden in a majority of diabetic diet-tables. This I believe is correct as applied to all preserved fruits, as they almost invariably contain cane sugar. Apples and pears contain only about 10 per cent. of carbohydrates. Sometimes we have to allow something of the kind to appease cravings and regulate the bowels. Apples and pears, especially the tart apples, do the least harm. A few strawberries, unsweetened, or sweetened with saccharin, may be allowed, or watermelon, ice cold, if craved, as each only has about 6 per cent. of carbohydrates. Raspberries and nectarines are more objectionable. Peaches and blackberries are about in the class with pears and apples. As to oranges and lemons, the former need watching and the number used must be limited. Let your physician supervise your fruit diet. There may be times when it may do more injury than at others.

Nuts

Never eat chestnuts nor peanuts, nor cocoanut. As a rule, most of the other nuts may be eaten.

Fish

Eat all parts of all fish except the livers. In cooking them avoid the use of flours and meals as much as possible.

Shell-Fish

Crabs, lobsters, and shrimps may be used. Eat oysters, mussels,, and clams in any way except cooked with flour or meal. The livers of oysters and clams are large, and on this account the eating of them should be very thoroughly guarded by diabetics. Never eat any of them to excess.