A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
Alcoholic Beverages.--Claret, burgundy, dry sherry, Bass's ale or
bitter beer. (No sweet wines.)
Prohibited.--Ordinary bread; cake, etc. made with flour or sugar;
desserts made with flour or sugar; vegetables, except those mentioned
above; sweet fruits.
[Footnote 49: "On the Treatment of Diabetes Mellitus," a paper read
before the American Medical Association at its meeting in Washington,
May, 1884, and published in the _Journal_ of the association July 12,
1884. I have so far modified the bill of fare as to permit the use of
milk, which Flint excludes.]
One of the foods the omission of which is most illy borne by the
diabetic, however great his previous indifference to it, is wheaten
bread, while the substitutes which have been at different times
suggested for it very imperfectly supply its place. Perhaps the best
known of these is the bread made of gluten flour. It was suggested by
Bouchardat in 1841, and is made by washing the ordinary wheat flour to
free it from starch.[50]
[Footnote 50: The Health Food Company, of 74 Fourth Avenue, N.Y.,
prepare a gluten flour by first removing the five bran-coats,
pulverizing the cleaned berry by the cold-blast process, stirring the
powder into iced water, and precipitating the gluten, cellulose, and
mineral matters, siphoning off the water holding in suspension the
starch, and drying out the precipitate. In this manner the salts of the
wheat are retained. A purified gluten made by the Health Food Company
is deprived of the cellulose walls of the cells in which the gluten
granules are held. Directions for making gluten bread and cakes of
various kinds are furnished by the company on application.]
Gluten flour, however prepared, contains some starch, as indeed it must
if bread is to be made out of it; and I confess to having been a good
deal disappointed in its use. I have known the sugar absent in a {223}
selected diet to return when gluten bread was permitted, and again
disappear on its withdrawal. Of course gluten flour contains less
starch than the ordinary wheat flour, and there may be cases where the
starch in the former can be assimilated when the quantity in the latter
cannot be. The gluten may be made into porridge.[51]
[Footnote 51: Gluten porridge is made by stirring the gluten into
boiling water until thick enough, and then keeping up the boiling
process for fifteen minutes. A little salt and butter are added at the
close to improve the flavor, and it may be eaten with milk or cream.]
A method of getting rid of the starch and sugar in bread, suggested by
Liebig and tried by Vogel, consists in converting the starch into sugar
by the action of diastase and dissolving out the sugar thus produced.
This is accomplished by treating thin slices of bread with an infusion
of malt. The bread is then washed, dried, and slightly toasted.
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