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Foreword by Frank
Vinicor, M.D., M.P.H.
First 50 Years As a Diabetic
- In this chapter, Dr. Bernstein tells the
remarkable story of his life, including his
self-discovered technique for controlling
his blood sugars, recovery from over a half-dozen
common diabetes-related conditions, and the
conflict he encountered with the medical community
which still doesn't believe it's possible.
& After: 14 Patients Share Their Experiences
- Much of it in their own words, 14 of Dr.
Bernstein's patients tell the stories of their
lives before trying his solution and the life-changing
results they experienced as a result.
- Chap. 1: Diabetes:
- Diabetes 101, including the difference between
Type I and Type II diabetes. As a Type I diabetic
himself, Dr. Bernstein offers personal insight.
Chap. 2: Tests:
A Baseline Measure of Your Disease and Risk
Chap. 3: Your Diabetic Tool Kit: Supplies You
Will Need and Where to Get Them
Chap. 4: How and When to Measure Blood Sugar
Chap. 5: Recording Blood Sugar Data: Using the
GLUCOGRAF II Data Sheet
Chap. 6: Strange Biology: Phenomena Peculiar
to Diabetes That Can Affect Blood Sugar
Chap. 7: The Laws of Small Numbers
- How exactly can you learn to predict your
blood sugars? Dr. Bernstein answers the question
in this chapter.
Chap. 8: Establishing
a Treatement Plan: The Basic Treatment Plans
and How We Structure Them
- Chap. 9: The
Basic Food Groups, or Much of What You've
Been Taught About Diet is Probably Wrong
- Dr. Bernstein's reduces the complex "food
pyramid" to three food groups, and warns
how damaging the typical American diet can
be to diabetics and nondiabetics alike.
- Chap. 10: Diet
Guidelines: Basic Treatment for All Diabetics
- Prepare for some big surprises about the
foods we've come to believe were really "sugar-free"
and learn which types of foods Dr. Bernstein
advocates in his diet plan for diabetics.
Chap. 11: Creating
a Customized Meal Plan
- Chap. 12:
Weight Loss--If You're Overweight
- Scientific insight about why people become
overweight, plus methods for you to lose weight
the right way.
Chap. 13: Using
Exercise to Enhance Insulin Sensitivity
- Chap. 14:
Oral Hypoglycemic Agents
- Valuable knowledge about the various OHA's,
including Dr. Bernstein's dosage regimens,
benefits and some possible side effects.
Chap. 15: Insulin:
The Basics of Self-Injection
Chap. 16: Important
Information About Various Insulins
Chap. 17: Simple Insulin Regimens
Chap. 18: Intensive Insulin Regimens
Chap. 19: How to Prevent and Correct Low Blood
Chap. 20: How to Cope with Dehydrating Illness
Chap. 21: Delayed Stomach-Emptying: Gastroparesis
Chap. 22: Routine Follow-up Visits to Your Physician
- Chap. 23:
What You Can Expect from Virtually Normal
- Coming out of the dark...Dr. Bernstein offers
hope for what physical and mental changes
normalized blood sugars can do for you.
A: What About the Widely Advocated Dietary
Restrictions on Fat, Protein, and Salt, and
the Current High-Fiber Fad?
- Dr. Bernstein answers with real-world, common-sense
scientific analysis of why certain foods have
been stressed as "good" and others
as "bad" by the medical establishment.
Appendix B: Don't
Permit Hospitalization to Impair Your Blood
Appendix C: Drugs That May Affect Blood Glucose
Appendix D: Recipes for Low-Carbohydrate Meals
E: Foot Care for Diabetics
- Foot-saving advice for diabetics, including
a list of do's and don'ts to help keep you
on your feet for years to come.
the first time, you can listen and learn
from Dr. Bernstein, how to control your diabetes.
14 Patients Share Their Experiences /
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You're the only person
who can be responsible for normalizing your blood
sugars. Although your physician may guide you, the
ultimate responsibility is in your hands. This task
will require significant changes in lifestyle that
may involve some sacrifice. The question naturally
arises, "Is it really worth the effort?"
As you will see in this chapter, others have already
answered this question for themselves. Perhaps their
experiences will give you the incentive to find out
whether you can reap similar benefits.
G. Watkins is a forty-year-old journalist.
His diabetes was diagnosed twenty-three years
ago. For the past nine years he's been following
one of the treatment protocols described in this
book for people who require insulin.
Purcell is a seventy-six-year-old retiree
who, like many of my married patients, works closely
with his wife to keep his diabetes on track. Eileen,
who goes by the nickname Ike, tells the first
part of his story.
Delaney is a fifty-three-year-old mother
and financial editor. Her story is not unusual.
About half of all diabetic men are unable to have
sexual intercourse, because high blood sugars
have impaired the mechanisms involved in attaining
erection of the penis. Frequently partial, albeit
inadequate, erections are still possible; such
"borderline" men may still be able to
enjoy adequate erections for intercourse, after
extended periods of normal blood sugars. We have
seen such improvements in a number of patientsóbut
only in those whose problem was caused mainly
by neuropathy (nerve damage), as opposed to blockages
of the blood vessels that supply the penis. When
we initially saw L.D., he asked us to evaluate
his erectile impotence. We found that the blood
pressures in his penis and his feet were normal,
but that the nerve reflexes in the pelvic region
were grossly impaired. L.D.'s comments refer in
part to this problem.
M.D., is board certified in orthopedic
surgery. He has been following one of the regimens
described in this book for the past three years.
is seventy-one years old and has three grandchildren.
He still works as a financial consultant, and
was a naval aviator in World War II. His blood
sugars are currently controlled by diet, exercise,
and pills called oral hypoglycemic agents. Thanks
to the diet described in this book, his cholesterol/HDL
ratio, an index of heart disease risk (see page
51), has dropped from a very high risk level of
7.9 to a below-average level of 3.0. His hemoglobin
A1C test, which reflects average blood sugar for
the prior four months, has dropped from 10.1 percent
(very high) to 5.6 percent (nearly in the nondiabetic
range). His R-R interval study (see Chapter 2),
an indicator of injury to nerves that control
heart rate, has progressed from an initial value
of 9 percent variation (very abnormal) to a current
value of 33 percent, which is normal for his age.
Watkins is a sixty-eight-year-old grandmother
and associate executive director of a social service
agency. When we first met, she had been taking
insulin for two years, after developing Type II
diabetes thirteen years earlier. Her comments
relate in part to the effects of large amounts
of dietary carbohydrate, covered by large amounts
of insulin, while she was following a conventional
is a fifty-five-year-old former typesetter whose
diabetes was diagnosed fourteen years ago. As
with many other people who use our regimen, his
test of average blood sugar (hemoglobin A1C) and
his tests for cardiac disease risk (cholesterol/HDL
ratio) simultaneously dropped from high levels
to essentially normal values.
Kent is fifty-one. He has known about
his diabetes for approximately six years, and
we suspect that he probably had it for three to
four years prior to his diagnosis. He has a family
history of diabetes, and his story is fairly typical.
is a sixty-seven-year-old business executive who
had had Type II diabetes for twenty-four years,
and had been taking insulin for twenty, when he
started on our regimen. He writes the following:
Candido has had Type I diabetes for more
than twenty years and has been my patient for
ten. She is in her sixties, and she and her husband,
Lou, her "copilot," work together to
keep her blood sugars normal. Like a lot of happily
married couples, Lorraine and Lou sometimes almost
speak as one. When Lorraine comes in for treatment,
Lou is with her. When she calls on the phone,
Lou is on the other line. They talk about how
starting the program changed their lives:
L.: It isn't unusual for people with diabetes
to make major changes in other aspects of their
lives once their blood sugars have been restored
to normal after years of poor control. The changes
that we see include marriages, pregnancies, and
reentry into the workforce. The story of Elaine
L. falls into the last category. She also points
out the disabling fatigue that she experienced
when her blood sugars were high. This problem
has led other diabetics, desperate to retain their
abilities to function productively, to abuse amphetamines.
Elaine is a sixty-year-old mother and artist.
Her story is not unusual.
DeLuca is in his early sixties and has
had Type II diabetes since about age forty-five.
Like many of my patients, he had been in "standard"
treatment and found his condition getting progressively
Wade, M.D., is one of many physicians
with diabetes. He is board certified in pediatric
medicine. His lovely wife not long ago gave birth
to their third child. His story has a number of
parallels with my own.