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CURTIS BRUEN; Method for Adjusting the Diet in Diabetes. Annals of Internal Medicine. 1931 Mar;4(9):1206-1211.

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Articles | 1 March 1931

Method for Adjusting the Diet in Diabetes

CURTIS BRUEN, M.D.

Ann Intern Med. 1931;4(9):1206-1211. doi:10.7326/0003-4819-4-9-1206

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The treatment of diabetes mellitus is a problem in quantitative chemistry.

In functioning the organism exacts a certain output of energy from the metabolism of foodstuffs. This caloric requirement is equal to the basal metabolism, plus a percentage increment for the specific dynamic action of food, and a percentage increment for activity over and above basal. In order to meet this requirement the several foodstuffs must be metabolized in such amounts as correspond to the dietary equation

C=4.1 CH+4.1 P+9.3 F (1)

in which C represents calories per day, CH, P and F, grams of carbohydrate, protein, and fat respectively,

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