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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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I submitted it and its revisions to many medical journals over a period of years—a period during which I was continually improving in health, and continually proving to myself and to my family, if to no one else, that my methods were correct. The rejection letters I received are testimony that people tend to ignore the obvious if it conflicts with the orthodoxy of their early training. Typical rejection letters read in part: "Studies are not unanimous in demonstrating a need for 'fine control'" (the New England Journal of Medicine), or "How many patients would use the electric device for measurement of glucose, insulin, urine, etc.?" (Journal of the American Medical Association). As a matter of fact, since 1980, when these "electric devices" finally were made available to patients, the worldwide market for blood glucose self-monitoring supplies has come to exceed $3 billion annually. Look at the array of blood glucose meters in any pharmacy, and you can get an idea of just how many patients use, and will use, the "electric device."

Trying to cover several routes simultaneously, I joined a few lay diabetes organizations, in the hope of moving up through the ranks, where I could meet physicians and researchers specializing in the disease. This met with mediocre success. I attended conventions, worked on committees, and met many diabetologists. In this country, I met only three physicians who were willing to offer their patients the opportunity to put these new methods to the test.

Meanwhile, Charlie Suther was traveling around the country to university research centers with copies of my unpublished article, which by now had been typeset and privately printed at my expense. The rejection by doctors of the concept of blood sugar self-monitoring, even though essential to blood sugar control, was so intense, however, that the management of his company had to turn down the idea of making meters available to patients until many years later. His company and others could clearly have profited from the sale of blood glucose meters and test strips. However, the backlash from the medical establishment prevented it on a number of counts. It was unthinkable that patients be allowed to "doctor" themselves. They knew nothing of medicine—and if they could, how would doctors earn a living? In those days, patients visited their doctors once a month to "get a blood sugar." If they could do it at home for 25 cents (in those days), why pay a physician? But almost no one believed there was any value to normal blood sugars anyway. In some respects, blood glucose self-monitoring remains a serious threat to the incomes of many physicians who specialize in the treatment of the symptoms of diabetes and not the disease. Drop into your neighborhood ophthalmologist's office and you will find the waiting room three-quarters filled with diabetics, many of whom are waiting for expensive fluorescein angiography or laser treatment.

With Suther's backing in the form of free supplies, by 1977 I was able to get the first of two university-sponsored studies started in the New York City area. These both succeeded in reversing early complications in diabetic patients. As a result of our successes, the two universities separately sponsored the world's first two symposia on blood glucose self-monitoring. By this time I was being invited to speak at international diabetes conferences, but rarely at meetings in the United States. Curiously, more physicians outside the United States seemed interested in controlling blood sugar than did their American colleagues. Some of the earliest converts to blood glucose self-monitoring were from Israel and England.

By 1978, perhaps as a result of Charlie Suther's efforts, a few additional American investigators were trying our regimen or variations of it. Finally, in 1980, manufacturers began to release blood glucose meters for use by patients.

This "progress" was entirely too slow for my liking. I knew that while the medical establishment was dallying there were diabetics dying whose lives could have been saved. I knew also that there were millions of diabetics whose quality of life could be vastly improved, so in 1977, I decided to give up my job and become a physician—I couldn't beat 'em, so I had to join 'em. This way, with an M.D. after my name, my writings might be published, and I could pass on what I had learned about controlling blood sugar.

After a year of premed courses and another year of waiting, I entered the Albert Einstein College of Medicine in 1979. I was forty-five years old. During my first year of medical school I wrote my first book, Diabetes: The Glucograf Method for Normalizing Blood Sugar, enumerating the full details of my treatment for Type I, or insulin-dependent, diabetes.

In 1983 I finally opened my own medical practice. By that time, I had well outlived the life expectancy of an "ordinary" Type I diabetic. Now, by sharing my simple observations, I was convinced I was in a position to help both Type I and Type II diabetics who still had the best years of their lives ahead of them. I could help others take control of their diabetes as I had mine, and live long, healthy, fruitful lives.

The goal of this new book is to share the techniques and treatments I have taught my patients and used on myself, including the very latest developments. If you or a loved one suffers from diabetes, I hope this book will give you the tools to turn your life around as I did mine.

Theories, no matter how pertinent,
Cannot eradicate the existence of facts.
—Jean Martin Charcot

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