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Click the links below to jump to various excerpts from Dr. Bernstein's Diabetes Solution. Most of the excerpts are more than one page in length and are filled with interesting facts and important knowledge from Dr. Bernstein. Enjoy them!

Foreword by Frank Vinicor, M.D., M.P.H.

My 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. 
 
Before & 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: The Basics
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 Profile
 
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 Sugars
 
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 Blood Sugars
Coming out of the dark...Dr. Bernstein offers hope for what physical and mental changes normalized blood sugars can do for you.
 
Appendix 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 Sugar Control
 
Appendix C: Drugs That May Affect Blood Glucose Levels
 
Appendix D: Recipes for Low-Carbohydrate Meals

Appendix 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.

Glossary & Index

 
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There are a number of myths surrounding diet and diabetes, and much of what is still considered sensible nutritional advice for diabetics can over the long run be fatal. I know, because it almost killed me. I developed diabetes in 1946 at the age of twelve, and for more than two decades I was an "ordinary" diabetic, dutifully following doctor's orders and leading the most normal life I could, given the limitations of my disease.

Over the years, the complications from my diabetes became worse and worse, and like many diabetics in similar circumstances, I faced a very early death. I was still alive, but the quality of my life wasn't particularly good. I have what is known as Type I, or insulin-dependent, diabetes, which usually begins in childhood (it's also called juvenile-onset diabetes). Type I diabetics must take daily insulin injections just to stay alive.

Back in the 1940s, which were very much still the "dark ages" of diabetes treatment, I had to sterilize my needles and glass syringes by boiling them every day, and use a test tube to test my urine for sugar. Many of the tools the diabetic can take for granted today were scarcely dreamed of back then—there was no such thing as a rapid, finger-stick blood sugar–measuring device, nor disposable insulin syringes. Still, even today, parents of Type I diabetics have to live with the same fear my parents lived with—any morning they could try to wake up their child and discover him dead. For any parent of a Type I diabetic, this is a real and constant possibility.

Because of my chronically elevated blood sugar levels, and the inability to control them, my growth was stunted, as it is for many juvenile-onset diabetics, even to this day.

Back then, the medical community had just learned about the relationship between high blood cholesterol and vascular (blood vessel and heart) disease. It was then widely believed that the cause of high blood cholesterol was consumption of large amounts of fat. Since many diabetics, even children, have high cholesterol levels, physicians were beginning to assume that the vascular complications of diabetes—heart disease, kidney failure, blindness, et cetera—were caused by the fat that diabetics were eating. As a result, I was put on a low-fat, high-carbohydrate diet. Because carbohydrate raises blood sugar, I had to compensate with very large doses of insulin, which I injected with a 10 cc "horse" syringe. These injections were slow and painful, and eventually they destroyed all the fatty tissue under the skin of my thighs. In spite of the low-fat diet, my blood cholesterol remained very high. I developed visible signs of this state—fatty growths on my eyelids and gray deposits around the iris of each eye.

During my twenties and thirties, the prime of life for most people, many of my body's systems began to deteriorate. I had excruciatingly painful kidney stones, a stone in a salivary duct, "frozen" shoulders, a progressive deformity of my feet with impaired sensation, and more. I would point these out to my diabetologist, but I was usually told, "Don't worry, it has nothing to do with your diabetes. You're doing fine." But I wasn't doing fine. I now know that most of these problems are commonplace among those whose diabetes is poorly controlled, but then I was forced to accept my condition as "normal."

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