A COMPARISON OF THE METABOLIC EFFECTS OF ISOCALORIC MEALS OF VARYING COMPOSITION, WITH SPECIAL REFERENCE TO THE PREVENTION OF POSTPRANDIAL HYPOGLYCEMIC SYMPTOMS
Authors: George W. Thorn, John T. Quinby, Marshall Clinton
Journal: Annals of Internal Medicine (1943)

Article1 June 1943A COMPARISON OF THE METABOLIC EFFECTS OF ISOCALORIC MEALS OF VARYING COMPOSITION, WITH SPECIAL REFERENCE TO THE PREVENTION OF POSTPRANDIAL HYPOGLYCEMIC SYMPTOMSGEORGE W. THORN, F.A.C.P., JOHN T. QUINBY, M.D., MARSHALL CLINTON JR., M.D.GEORGE W. THORN, F.A.C.P.Search for more papers by this author, JOHN T. QUINBY, M.D.Search for more papers by this author, MARSHALL CLINTON JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-18-6-913 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONEfficiency experts have long recognized the desirability of supplying intermediate supplementary nourishment to maintain the performance of office and factory personnel throughout the working day. Insufficient attention has been given to the fact that the ingestion of a typical American breakfast—one relatively high in carbohydrate and low in protein and fat content—predisposes to midmorning hypoglycemic symptoms. Similarly a luncheon of relatively high carbohydrate content predisposes to hypoglycemia in the midafternoon. During these periods of relative hypoglycemia a definite impairment in performance may be expected. Provision of supplementary nourishment is obviously indicated during these periods except in the case of...Bibliography1. CONNNEWBURGH JWLH: The glycemic response to isoglucogenic quantities of protein and carbohydrate, Jr. Clin. Invest., 1936, xv, 665. CrossrefGoogle Scholar2. LUSK G: Animal calorimetry; analysis of the oxidation of mixtures of carbohydrate and fat. A correction, Jr. Biol. Chem., 1924, lix, 41. CrossrefGoogle Scholar3. FOLINMALMROS OH: An improved form of Folin's micro method for blood sugar determinations, Jr. Biol. Chem., 1929, lxxxiii, 115. CrossrefGoogle Scholar4. WATERS WC: Spontaneous hypoglycemia: The rôle of diet in etiology and treatment, South. Med. Jr., 1931, xxiv, 249. CrossrefGoogle Scholar5. CLARKGREENE BBJA: Effect of low carbohydrate diet on glucose tolerance in spontaneous hypoglycemia, Proc. Soc. Exper. Biol. and Med., 1935, xxxii, 1459. CrossrefGoogle Scholar6. CONN JW: The advantage of a high protein diet in the treatment of spontaneous hypoglycemia, Jr. Clin. Invest., 1936, xv, 673. CrossrefGoogle Scholar7. SWANSONGREENE LWJA: Further observations on the rôle of diet in the etiology and treatment of spontaneous hypoglycemia, Jr. Lab. and Clin. Med., 1941, xxvi, 828. Google Scholar8. STEFANSON V: Adventures in diet, Harper's, 1935, clxxi, 668; 1935, clxxii, 46; and 1936, clxxii, 178. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Presented at the New England Regional Meeting of the American College of Physicians, February 5, 1943, Boston, Massachusetts.From the Department of Medicine, Harvard Medical School, and the Peter Bent Brigham Hospital, Boston. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNutritional Approaches to Behavior ModificationThe Role of Carbohydrates in Appetite, Hunger and ObesityEffect of Protein Content: Breakfast Habits of Swedish School Children1Hypoglycemia and the Central Nervous SystemRESEARCH ON ADOLESCENT NUTRITIONSpontaneous hypoglycemiaSatiety Values of Isocaloric Diets for Reducing. With Special Reference to the Glucostatic Theory of Appetite ControlBlood Changes Following Breakfasts of Different Types. Blood Sugar and Chylomicrons in Young Women of Different WeightsFUNCTIONAL HYPOGLYCEMIA AND THE HYPERVENTILATION SYNDROME: A CLINICAL STUDY*†W. L. JACK EDWARDS, M.D., WILLIAM F. LUMMUS, M.D.CEREBRAL DISEASE DUE TO FUNCTIONING ISLET-CELL TUMOURSAdenoma of the Islands of LangerhansGastric function and metabolism of carbohydratesThe Dietary Management of Spontaneous Hypoglycemia1Protein deficiency in manSome Medical Aspects of Protein Foods 1 June 1943Volume 18, Issue 6Page: 913-919KeywordsCarbohydratesFatsHospital medicineHypoglycemiaHypoglycemicsIngestionProteins ePublished: 1 December 2008 Issue Published: 1 June 1943 Copyright & PermissionsCopyright, 1943, by The American College of PhysiciansPDF downloadLoading ...