Fascinating, thank you Richard.
A couple of the things I found most interesting: this protocol (starvation followed by carefully increasing carb and protein until sugar in urine, at which point go back to starvation and then increase carb and protein to a lower level) worked for every case of adult-onset diabetes (this is long before anyone referred to T1 and T2).
This treatment was not nearly so successful with juvenile-onset - what we now refer to as T1. As he wrote: "Diabetes in children is likely to be a good deal more severe than it is in adults. ... Most diabetic children, however, are thin and frail, and they have no extra weight to lose, so it does not seem so desirable to bring about any very great loss of weight, which is quite an essential part of the treatment for most adults."
In fact two of the three juvenile-onset diabetics he treated with his diet died as part of the treatment. The third survived, though there was no follow-up to indicate how long she lived. And as the author stated: "The question is, can she grow and develop on a diet which will keep her sugar-free?"
This case was particularly sad:
"Case 9. M. D., female, age 3-1/2 years, entered April 7, 1915, with a history of having progressively lost weight for a month past, and of having had a tremendous thirst and polyuria. Had been on a general diet at home. At entrance the child was in semi-coma, with very strong sugar, diacetic acid and acetone reactions in the urine. For the first 12 hours she was put on a milk diet, with soda bicarbonate gr. xxx every two hours, and the next day was starved, with whiskey 1 drachm every 2 hours, and soda bicarbonate, both by mouth and rectum. She died after one day of starvation."