Lamb chop. 100 grams 1 chop.
Peas. 100 grams 2 h. tbsp.
Lettuce. 25 grams 3 leaves.
Fresh tomato. 100 grams 1 medium.
Mayonnaise. 21 grams 1 tbsp.
Bread. 25 grams 1 slice, 3 x 2 x 1/2 in.
Butter.
Tea.
SUPPER.
Cold roast beef. 100 grams 1 slice (large).
Olives. 50 grams 13 small olives.
Almonds. 20 grams
Cream cheese. 50 grams 1-1/2 x 1-1/2 x 1-1/2 in.
Bread. 40 grams 1 slice, 3 x 3-1/2 x 1/2 in.
Butter.
Cream.
Tea.
_Allow during day:_
Butter. 50 grams 5 squares.
Cream, 40%. 5 ounces 10 tbsp.
Sugar. 40 grams 4 h. tbsp.
Tea.
Butter.
* * * * *
Dr. Edwin A. Locke's book of food values has been of much value in
making up these diets.
* * * * *
The following shows the successive steps in building up a diet for a
patient who starved six days before becoming sugar-free:
Grams Grams Grams Total
Protein Fat Carbohydrate Calories
Day 1 2 + 5 30
" 2 15 12 4 189
" 3 23 18 8 294
" 4 36 30 11 471
" 5 18 48 9 560
" 6 51 44 17 688
" 7 52 51 15 750
" 8 46 51 19 740
" 9 49 78 20 1008
" 10 50 101 21 1230
" 11 49 123 19 1422
" 12 Starved because sugar came through
" 13 15 12 3 185
" 14 34 32 10 478
" 15 53 100 15 1208
* * * * *
Patient discharged with advice as to diet. The corresponding menus for
the above are as follows:
FIRST DAY.
BREAKFAST. DINNER. SUPPER.
String beans 25 grams. Lettuce 25 grams. Lettuce 25 grams.
Lettuce 25 grams. Cucumbers 25 grams. Tomato 25 grams.
Coffee. Tea. Tea.
Protein 2 grams, Fat, trace, Carbohydrate 5 grams, Calories 30.
SECOND DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Egg 1. Lettuce 25 grams.
Lettuce 25 grams. Lettuce 25 grams. String beans 25 grams.
Cucumbers 25 grams. String beans 25 grams. Tea.
Coffee. Tea.
Protein 15 grams, Fat 12 grams, Carbohydrate 4 grams, Calories 189.
THIRD DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Egg 1. Egg 1.
Asparagus 50 grams. Cauliflower 50 grams. String beans 75 grams.
Lettuce 25 grams. Lettuce 50 grams. Celery 50 grams.
Protein 28 grams, Fat 18 grams, Carbohydrate 8 grams, Calories 294.
FOURTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Chicken broth 6 oz. Egg 1.
String beans 100 grams. Egg 1. Egg whites 2.
Coffee. Celery 100 grams. Lettuce 75 grams.
Cream 1 oz. Tea. Cucumbers 50 grams.
Protein 36 grams, Fat 30 grams, Carbohydrate 11 grams, Calories 471.
FIFTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. String beans 75 grams. Egg 1.
Cauliflower 100 grams. Lettuce 25 grams. Asparagus.
Coffee. Tomatoes 50 grams. Tea.
Cream 2 tbsp. Butter 1 square. Cream 2 tbsp.
Butter 1/2 square. Tea.
Cream 2 tbsp.
Protein 18 grams, Fat 48 grams, Carbohydrate 10 grams, Calories 560.
SIXTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Broth 6 oz. Egg 1.
Spinach 75 grams. Chicken 50 grams. Egg whites 2.
Butter 1/2 square. Lettuce 50 grams. String beans 75 grams.
Coffee. Tomatoes 75 grams. Cucumbers 75 grams.
Cream 1 tbsp. Asparagus 75 grams. Tea.
Tea. Cream 1 tbsp.
Cream 1 tbsp. Butter 1/2 square.
Protein 51 grams, Fat 44 grams, Carbohydrate 17 grams, Calories 688.
SEVENTH DAY.
BREAKFAST. DINNER. SUPPER.
Eggs 2. Beef broth 6 oz. Egg 1.
Asparagus 100 grams. Scraped beef 50 grams. Salmon 50 grams.
Coffee. Cauliflower 100 grams. Cabbage 100 grams.
Cream 1 tbsp. Spinach 100 grams. Tomatoes (raw) 75 grams.
Lettuce 25 grams. String beans 100 grams. Tea.
Tea. Cream 1 tbsp. Cream 1 tbsp.
Protein 52 grams, Fat 51 grams, Carbohydrate 15 grams, Calories 750.
EIGHTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Chicken 75 grams. Egg 1.
String beans 100 grams. Cauliflower 100 grams. Spinach 100 grams.
Asparagus 100 grams. Olives 25 grams. Celery 50 grams.
Coffee. Cucumbers 50 grams. Lettuce 50 grams.
Cream 1 tbsp. Tea. Tea.
Cream 1 tbsp. Cream 1 tbsp.
Protein 46 grams, Fat 51 grams, Carbohydrate 19 grams, Calories 740.
NINTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Chicken 75 grams. Egg 1.
Egg white 1. String beans 100 grams. Cauliflower 100 grams.
Spinach 100 grams. Asparagus 100 grams. Cucumbers 50 grams.
Celery 50 grams. Olives 25 grams. Lettuce 50 grams.
Coffee. Tea. Tea.
Cream 2 tbsp. Cream 1 tbsp. Cream 1 tbsp.
Butter 1 square. Butter 1-1/2 square. Butter 1 square.
Protein 49 grams, Fat 77 grams, Carbohydrate 19 grams, Calories 1008.
TENTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Lamb chop 75 grams. Egg 1.
Lettuce 50 grams. Spinach 100 grams. Salmon 50 grams.
String beans 100 grams. Celery 50 grams. Asparagus 100 grams.
Cucumbers 100 grams. Olives 25 grams. Cabbage 100 grams.
Coffee. Tea. Tea.
Cream 2 tbsp. Cream 2 tbsp. Cream 2 tbsp.
Protein 50 grams, Fat 101 grams, Carbohydrate 21 grams, Calories 1230.
ELEVENTH DAY.
BREAKFAST. DINNER. SUPPER.
Bacon 50 grams. Beef broth 8 oz. Egg 1.
Asparagus 100 grams. Chicken 75 grams. Tomatoes 100 grams.
Spinach 100 grams. Cabbage 100 grams. Spinach 50 grams.
Butter 2 squares. Cucumbers 50 grams. Butter 2 squares.
Cream 3 tbsp. Butter 3 squares. Cream 1 tbsp.
Cream (made into ice
cream) 4 tbsp.
Protein 49 grams, Fat 123 grams, Carbohydrate 19 grams, Calories 1422.
TWELFTH DAY.
BREAKFAST. DINNER. SUPPER.
Black coffee. Chicken broth 8 oz. Beef broth 8 oz.
Protein 12 grams, Calories 49.
THIRTEENTH DAY.
BREAKFAST. DINNER. SUPPER.
String beans 50 grams. Egg 1. Egg 1.
Black coffee. Asparagus 50 grams. Cabbage 50 grams.
Tea. Tea.
Protein 15 grams, Fat 12 grams, Carbohydrate 4 grams, Calories 185.
FOURTEENTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Roast chicken 50 grams. Egg 1.
String beans 100 grams. Asparagus 100 grams. Cauliflower 100 grams.
Coffee. Cabbage 100 grams. Tea.
Cream 1 tbsp. Tea. Cream 1 tbsp.
Cream 1 tbsp.
Protein 34 grams, Fat 32 grams, Carbohydrate 10 grams, Calories 478.
FIFTEENTH DAY.
BREAKFAST. DINNER. SUPPER.
Egg 1. Squab 100 grams. Egg 1.
Tomatoes 50 grams. String beans 100 grams. Cold chicken 25 grams.
Coffee. Cauliflower 150 grams. Lettuce 50 grams.
Cream 2 tbsp. Butter 1 square. Spinach 50 grams.
Custard made with 1 Tea.
egg, 4 tbsp. cream Cream 2 tbsp.
and 2 tbsp. water
sweetened with
saccharine.
Tea.
Protein 53 grams, Fat 100 grams, Carbohydrate 15 grams, Calories 1208.
Patient discharged with advice as to diet.
FOOD VALUES.
An estimate of the quantity or bulk of food may be of assistance or
interest. There is so much variation in the size of tablespoons or
what may be termed either rounding or heaping tablespoons that it must
be remembered that we can only estimate. Patients who are instructed
how to feed themselves on leaving the hospital are cautioned carefully
to take about the quantity of an article of food they have been served
while in the hospital when the diet is weighed. Any written advice is
always given in quantities known to be _under_ the carbohydrate or
protein tolerance of the patient. However, if they will boil the
vegetables and change the water at least twice, so much carbohydrate
is removed that it is quite possible for them to obtain a comfortable
bulk and still take in very small quantities of carbohydrate.
100-Gram Portions.
Asparagus--8 or 9 stalks 4 inches long.
Beans (string) (cut in small pieces) 3 heaping tablespoons.
Bacon--4 slices 6 inches long, 2 inches wide.[7]
Cabbage (cooked)--3 heaping tablespoons.
Cauliflower--3 rounding tablespoons.
Celery--6 pieces 4-1/2 inches long, medium thickness.
Cheese--a piece 4 inches by 1-1/2 inch by 1 inch.
Cucumbers--12 slices 1/8 inch thick, 1/2 inch in diameter.
Greens (spinach, kale, etc.)--2 heaping tablespoons.
Lettuce--10 to 12 medium-sized leaves.
Onions--2 onions, size of an egg.
Olives--25 small olives.
Peas--3 rounding tablespoons.
Potatoes (baked)--1 small potato, size of egg.
Potatoes (mashed)--2 rounding tablespoons.
Sardines--28 sardines--1 small box.
Salmon--1/4 can (almost).
Tomatoes--2-1/2 heaping tablespoons.
Tomatoes--fresh, one medium sized tomato, 2 inches in diameter.
[7] Bacon loses about half of its fat content when cooked.
Other Weights.
1 tablespoon olive oil = 13 grams
1 tablespoon mayonnaise = 21 "
1 thin slice of bread (baker's loaf) = 25 "
1 medium sized orange = 150 "
1 peach = 125 "
1 medium sized apple = 150 "
1/2 small grape fruit = 150 "
1 medium sized lamb chop with bone = 100 "
1 medium sized slice cold tongue = 25 "
1 slice tenderloin steak 1 in. thick = 100 "
1 average helping of fish = 100 "
1 average helping of butter = 10 "
1 average sized egg = 50 "
1 average helping of cooked green vegetables
such as spinach, cabbage,
cauliflower, asparagus, etc. (2 tablespoons)[8] = 100 "
1 average helping boiled cereal = 100 "
1 potato, size of large egg = 100 "
[8] It is not true that all the vegetables weigh the same,
but for the sake of simplicity in most of the diets it has been
reckoned that two heaping tablespoons of any one of the "5%"
vegetables weighs 100 gms.
The following food values are taken from Locke's Abstract of Atwater
and Bryant's Bulletin No. 28, 1906, United States Department of
Agriculture.
Fractions of per cents. have been left off in order to make the use of
the table more simple, and the values given will be found quite
accurate enough for clinical purposes.
Food Stuffs. Quantity. Protein. Fat. Carbohydrate. Total
Raw. Grams. Grams. Grams. Calories.
MEAT.
Beef 100 gms. 22 28 350
Chicken " " 32 4 168
Bacon (raw) " " 10 64 636
FISH.
Fish (average) " " 20 7 147
Oysters " " 6 1 3 46
EGGS.
Eggs " " 13 12 165
Eggs 1 egg 7 6 84
DAIRY PRODUCTS.
Butter 100 gms. 1 85 795
Cheese (American) " " 28 35 2 448
Cheese (Neufchatel) " " 19 27 2 337
Milk (whole) " " 3 4 5 70
Milk (whole) 1 qt. 30 36 45 642
Milk (skim) 100 gms. 3 0.3 5 35
Milk (skim) 1 qt. 31 3 46 343
Cream (gravity) 100 gms. 3 16 5 181
Cream (gravity) 1 pt. 12 73 23 822
CEREAL PRODUCTS.
Oatmeal (cooked) 100 gms. 3 0.5 12 66
Rice (cooked) " " 3 0.1 24 112
Macaroni (cooked) " " 3 0.1 24 112
Bread " " 9 1 53 264
Soda crackers " " 10 9 73 424
Cake (average) " " 6 9 63 367
VEGETABLES.
Asparagus (canned) 100 gms. 2 1 3 30
Beans (dried) " " 22 2 59 350
Beans (string)
fresh cooked " " 1 1.0 2 22
Beets (cooked) " " 2 0.1 7 37
Cabbage (raw) " " 2 0.3 6 35
Carrots (raw) " " 1 0.4 9 45
Cauliflower (raw) " " 2 0.5 5 33
Celery (raw) " " 1 0.1 3 17
Corn (green) " " 3 1 20 103
Cucumbers (raw) " " 0.8 0.2 3 17
Lettuce (raw) " " 1 0.3 3 19
Mushrooms (raw) " " 3 0.4 7 45
Onions (raw) " " 1 0.3 10 48
Peas (dried) " " 24 1 62 362
Peas (green, raw) " " 7 0.5 16 99
Potatoes (white) " " 2 0.1 18 83
Potatoes (sweet) " " 2 0.7 27 125
Spinach " " 2 0.3 3 23
Squash " " 1 0.5 9 46
Tomatoes " " 0.9 0.4 4 24
Turnips " " 1 0.2 8 39
The values for all the vegetables are calculated from the _raw_
vegetables.
FRUITS.
Apples (edible portion) 100 gms. 0.4 0.5 14 64
Bananas (edible portion) " " 1 0.6 22 100
Blackberries " " 1 1 11 59
Cherries " " 0.1 1 15 71
Cranberries 100 gms. 0.4 0.6 10 48
Currants " " 1 13 57
Figs (dried) " " 4 0.3 74 323
Grapes " " 1 1 14 71
Huckleberries " " 0.6 0.6 16 74
Lemon juice " " 10 41
Muskmelons
(edible portions) " " 0.6 9 39
Oranges (edible portion) " " 0.8 0.2 11 50
Peaches (edible portion) " " 0.7 0.1 9 41
Pears (edible portion) " " 0.6 0.5 14 65
Prunes (dried) " " 2 73 308
Raisins (dried) " " 2 3 76 348
Pineapples " " 0.4 0.3 10 45
Plums (edible portion) " " 1 20 86
Raspberries " " 1 12 53
Strawberries " " 1 0.6 7 38
Watermelons " " 0.4 0.2 7 32
NUTS.
Almonds. 100 gms. 21 54 17 658
Chestnuts " " 6 5 42 243
Peanuts (edible portion) " " 25 38 24 554
Walnuts " " 18 64 13 722
MISCELLANEOUS.
Chocolate 100 gms. 13 48 30 623
Whiskey 50 c.c. 43% alcohol 152
Lager beer 250 c.c. 4.5% alcohol 130
ADDITIONAL DATA.
Protein. Fat. Carbohydrate. Calories.
Bacon (raw) 4 slices, 6 in.
long 2 in. wide 10 64 636
Bacon (cooked) 4 slices, 6 in.
long, 2 in. wide 10 32 338
to 46 to 468
Beef (roast), 1 slice, 4-1/2 x
1-1/2 x 1/8 in. 6 7 89
Egg, 1 medium size, 50 gms. 7 6 84
Oysters, 6 large 6 1 3 46
Butter, 1-1/4 in. cube (25
gms.) 21 195
Cheese (Neufchatel) 1 cheese
2-1/4 x 1-1/2 x 1-1/4 in. 16 23 1 284
Cream (gravity--"16%"),
1 glass, 7 oz. 5 32 10 359
Milk (whole), 1 glass, 7 oz. 6 8 9 136
Bread, 1 slice, 3 x 3-1/2 x
1/2 in. (30 gms.) 3 0.5 16 81
Uneeda Biscuit (1) 1 0.5 4 20
Rice (boiled), 1 tablespoon,
(50 gms.) 1+ 12 56
Oatmeal (boiled), 1 tablespoon,
(50 gms.) 1+ + 6 33
Potato (size of large egg),
100 gms. 2 + 18 83
"5%" vegetables (uncooked)
1 tablespoon 2.5 10
"5%" vegetables (boiled
once) 1 tablespoon 1.7 7
"5%" vegetables (boiled
thrice) 1 tablespoon 1 4
Grape fruit as purchased (1
small) 300 gms. 2 30 131
Orange as purchased (1 medium)
150 gms. 1 13 57
English walnuts (6 whole
meats) 20 gms. 4 12 3 140
Almonds (10 small) 10 gms. 2 5 2 63
Peanuts (as purchased) 15
nuts 6 9 6 33
All of these values are approximate. The following vegetables may be
considered as falling into the "5%" group: Lettuce, string beans,
spinach, cabbage, Brussels sprouts, egg plant, cauliflower, tomatoes,
asparagus, cucumbers, beet greens, chard, celery, Sauerkraut, ripe
olives, kale, rhubarb, dandelions, endive, watercress, pumpkin,
sorrel, and radishes. As these various vegetables contain from 3 to 7%
carbohydrate, it will be seen that the value of 2-1/2 grams
carbohydrate for 1 tablespoonful of these vegetables raw, and 1 gram
for the same amount thrice boiled, is not accurate, but it is near
enough for practical purposes.
Transcriber's Notes:
A has been changed to A throughout
Removed unnecessary opening parenthesis:
On Feb. 5 he was still sugar-free (having been so