January 1, 1928
Dr Boyd prescribes a high fat diet for diabetic management and to curb dental cavities.
The Arrest of Dental Caries in Childhood
Julian D. Boyd
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"The principle of diabetic management in this clinic represents an attempt to approximate normal metabolism. Insulin is prescribed in amounts sufficient to keep the blood sugar as nearly within normal limits as possible. The diet is designed to meet the requirements of a normal child for growth, activity, and health. It differs from the usual concept of an ideal diet for a normal child in that fat, rather than carbohydrate, is used as the chief source of energy, the fatty acid: dextrose ratio being 1.5:1. All these children were on the same ratio of protein: carbohydrate: fat, namely, 7:9:21. The total amounts prescribed varied according to each child’s degree of development.
In general, the same foodstuffs were used for all. To a large extent these consisted of milk, cream, butter, eggs, meat, cod liver oil, bulky vegetables and fruits. The menu was designed to include approximately a quart of milk and cream daily. The fat was furnished principally as cream, butter, and egg-yolk. Each child received calories sufficient for full activity; the energy value was higher than is frequently employed in diabetic diets. Adequacy of insulin dosage was verified by frequent blood sugar estimations. These values closely approximated normal concentrations. Glycosuria was different."