Breakfast--1/2 grapefruit 1 soft-cooked egg 1 bran muffin with 8 gm. butter Coffee, 15 gm. cream Lunch--40 gm. broiled beefsteak 75 gm. spinach 75 gm. boiled onion 1 soya meal muffin with 8 gm. butter Tea Dinner--6 oz. tomato bouillon 80 gm. baked fish with parsley sauce 75 gm. Brussels sprouts with 5 gm. butter 1 Lister roll with 5 gm. butter Coffee jelly, 30 gm., with 15 gm. whipped cream ~Sixth Day~ Breakfast--1 poached egg 2 slices bacon 1 bran and Casoid muffin with 5 gm. butter Coffee with 15 gm. cream Lunch--Ham omelet (1 egg, 1 tbs. cream, 15 gm. minced ham) 75 gm. spinach 1 soya meal muffin with 8 gm. butter Tea A departure from the now almost universally used "Allen-Joslin Starvation Diet," is seen in the "Newburg-Marsh High Fat Diet." The use of a high fat diet in the treatment of diabetes is based primarily on one fact--namely, that if the food eaten is not sufficient for the needs of metabolism, the body itself supplies the deficiency. Fat is used as long as it lasts, body protein being drawn upon for fuel when this is exhausted. It is of distinct advantage to the patient to have a diet of sufficient fuel value to run his body machine and permit him a moderate degree of exercise. For by this means he is not obliged to use his own body substance to carry on metabolic processes. We thereby avoid the condition of extreme emaciation (though it is to be emphasized that gain in weight is to be carefully guarded against) with its constant lowering of the general health. The system of feeding consists of a series of four diets, examples and standards of which are given below. The diet is made up of protein on the basis of approximately 2/3 of a gram per kilogram of body weight at the time the patient leaves the hospital, a quantity of carbohydrate known to be well tolerated and the balance of the calories in fat.[154]