Download Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars PDF

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars
Name: Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars
Author: richard k. bernstein
Pages: 537
Year: 2007
Language: English
File Size: 38.56 MB
Downloads: 0
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Copyright 1997,2003,2007byRichardK.Bernstein,MD Glucograf*isaregisteredtrademarkofRichardK.Bernstein,MD Allrightsreserved.ExceptaspermittedundertheU.S.CopyrightActof1976, no partof thispublicationmaybereproduced,distributed,ortransmittedin anyformorbyanymeans,orstoredina databaseorretrievalsystem,without the priorwritten permissionof thepublisher. Little, Brown andCompany Hachette Book Group 237 ParkAvenue,NewYork,NY10017 Visit our Web siteat www.HachetteBookGroup.com OriginallypublishedinhardcoverbyLittle,BrownandCompany,1997 Newlyrevisedandupdatededition,March2007 Little,BrownandCompanyisadivisionofHachetteBookGroup,Inc. The Little,Brownname and logoaretrademarksofHachetteBook Group, Inc. IllustrationsbyTerryEppridge Author'sNote This book is not intended as a substitute forprofessionalmedical care. Thereadershouldregularlyconsult aphysicianfor allhealth related problems and routine care. The author isgratefulforpermissionto include thefollowingpreviously copyrightedmaterial: Figure1 3.Reproducedfrom theJournalofClinicalInvestigation,1967; 46:1549 1557.By permissionof The AmericanSocietyforClinicalInvesti gation. Figure9 1.ReproducedfromJournalof theAmericanDieteticAssociation, 1995;45:417 420. Copyright by The American Dietetic Association. Reprintedby permissionof TheAmericanDieteticAssociation. Figure19 1.ReproducedfromHumalogPI.Reprintedbypermissionof Eli Lillyand Company. LibraryofCongressCataloging in PublicationData Bernstein,RichardK. Dr.Bernstein's diabetessolution:the complete guide to achieving normal bloodsugars/ RichardK.Bernstein;forewordby FrankVinicor; recipesby KarenA.WeinstockandTimothyJ.Aubert. Newlyrev.andupdated, p.cm. DoctorBernstein'sdiabetessolution Diabetessolution Includesindex. ISBN978 0 316 16716 1 1. Diabetes Popularworks. 2. Blood sugarmonitoring Popular works.I.Title.II.Title:DoctorBernstein'sdiabetessolution.III.Tide: Diabetessolution. RC660.4B4642007 616.4'62 dc222006026483 109 8 7 6 5 RRD VA PrintedintheUnitedStatesofAmerica


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11.Creating a Customized MealPlan167 12.WeightLoss IfYou'reOverweight184 13. How to Curb Carbohydrate Cravingor Overeating UsingSelf HypnosisorLow RiskMedications196 14. UsingExercisetoEnhanceInsulinSensitivity211 15.Oral Insulin SensitizingAgents,Insulin MimeticAgents, andOtherOptions235 16. Insulin: TheBasicsof Self Injection249 17. Important InformationAboutVariousInsulins264 18. SimpleInsulinRegimens276 19. IntensiveInsulin Regimens284 20. Howto PreventandCorrectLowBloodSugars317 21.Howto CopewithDehydration,DehydratingIllness,and Infection344 22. DelayedStomach Emptying:Gastroparesis357 23. Routine Follow upVisitsto YourPhysician381 24. WhatYouCan ExpectfromVirtuallyNormal BloodSugars385 PARTTHREE YourDiabeticCookbook 25.RecipesforLow CarbohydrateMeals391 Appendices AppendixA:WhatAbouttheWidelyAdvocatedDietaryRestrictions on Fat,Protein,and Salt,and theCurrent High FiberFad?443 AppendbcB:Don't PermitHospitalizationorLengthyOutpatient Proceduresto Impair YourBloodSugarControl462 AppendixC:DrugsThat MayAffectBloodGlucoseLevels465 AppendixD:FootCareforDiabetics473 AppendixE: PolycysticOvarianSyndrome477 Glossary482 RecipeIndex493 GeneralIndex495


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Foreword by FrankVinicor,MD,MPH Director,DivisionofDiabetesTranslation NationalCenterforChronicDiseasePrevention andHealthPromotion CentersforDiseaseControlandPrevention Atlanta,Georgia Wearelearningalot aboutdiabetes especiallyduring the pastfiveto tenyears.This accumulationofnew knowledge isbothencouragingandatthe sametimeverychallenging. On the"challenging'' side: Diabetesseems to beeverywhereand steadilyincreasingin its presence.Thinkabout it 1in 3 babiesborn in 2000will de velop diabetesin their lifetimes. Every day,about 1,400 people arediagnosedwithdiabetesin the UnitedStates.Andnow no countryin the worldisfreefromdiabetes,andits growth. We now doknowhow to preventtype 2diabetes,buttoday for type 1 diabetes, neither prevention nor a long lasting cure is available. Once diabetes is present, good carebased on solid sciencenow can preventmuchofthe devastation formerly causedbyelevated bloodsugars.But there remains a sizablegapbetween what we knowto do and how well and widely we aredoing it. In other words, the"translation"ofdiabetesscienceinto dailypractice stillhasawayto go. Nonetheless, in spiteofthese and otherimportantchallenges,we areallbetter preparedto dealwithdiabetesin 2007than wewereeven a few yearsearlier,let alonedecadesago.Remarkableprogresshasoc curred.Forexample, many peopleathigh risk fortype 2 diabetesdo not developit. Modestweightlossandincreasedphysicalactivityhave beenshownto eliminateoratleastdelaythedevelopmentofthistype ofdiabetesby60 70percent regardlessofrace,ethnicity, orage. Inaddition,forbothtypes 1 and 2 diabetes, wenowhavemany


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viiiForeword more effective medications which, when taken appropriatelyand in combinationwith propernutritionand activity,will result in con trolledplasmaglucose,bloodpressure,andbloodfats withdefinite reductionin the likelihoodofeye,kidney, nerve, and heartproblems. In other words,whilethegoalsofdiabetesresearchstillinlargepart should be prevention or cure, even now thedevastationformerly causedbythisconditiondoesnothavetohappen! Nowadays,too, we have better ways tofollowand keep trackof diabetes withimproved health care systems, better educational programs,lesspainfulself monitoringofbloodsugars,more quickly availableandaccurateglycosylatedhemoglobinlevels,waystoidentify kidney problemsearly,andsoforth.Wecanknow whatisgoingon! So,infact,we areactuallyseeinganimprovementin diabetescare in the UnitedStates,althoughnot with allpeopleandnotyetto anad equatelevelorfastenough. WhatdoesallthishavetodowithDr.Bernsteinandthiseditionof DiabetesSolution7.Asmentionedearlier,therateofaccumulationof newdiabetesknowledge is quiteremarkableand daunting. YetDr. Bernstein stayson topofitall.Thecarepattern for diabeteshas be come much morecomplexanddemanding,andDr.Bernsteinandhis approachhaveprovedequalto thechallenge.Inessence,diabetesisin many ways"lesseasy"thanin the past forthe patientor forhis/her health careprofessional.There arelotsofnutritionalapproachesto consider, lotsofmedicationsto be used in varyingcombination,and oftenlesstimewithinabusyoffice practiceto make allthesewonder ful advances real and meaningful for people facing diabetes. This newly revisededitionpresentstheadvancesindiabetesthinkingand managementwithpassion,compassion,caring,and conviction.Cer tainly,forsomepeople,hisapproachesarenoteasy!Buttheydoreflect evolvingmedicalscienceaswellashispersonalexperiencesin manag ing his own diabetes.He doesnotask anyone to do anything that he himselfwouldnotdo, and forthis I have respect andadmiration.He is offeringtopersonschallengedby thepresenceor riskofdiabetesa way to be inchargeofthedisease.Andhe isensuring thatimportant advancesin diabetessciencegetout therenowto make adifference in people'slives.Takealook!Think abouttheideasandsuggestions they can further our mutual and ongoing effort to prevent, capture, andcontrolthisdiseasecalleddiabetes.


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PrefacetotheNewlyRevisedand UpdatedEdition Sincethe publicationofthe revised editionofDr.Bernstein's DiabetesSolutionin 2003,manynewdevelopmentshave oc curred in the field ofdiabetesresearch,and aseachsignificant one hascome along,Ihavefurtherrefinedmytechniques fornormal izing blood sugars.This newlyrevisedand updated editiondiscusses new oral medications, newinsulins,new dietary supplements, new hardware(tools for the diabetic),and other new products. It alsoex ploresnewmethods that Ihavedevelopedformoreelegantlycontrol lingbloodsugars. Excitingnewapproachesto weightlosswillbe found here,includ ing the useofanew,injectablemedication (anamylinanalog)that is wonderfully effective foralleviatingcarbohydratecraving and over eating. This newly revisedand updatededition buildsuponthe priortwo editionsofthisbookanduponmytwo earlierbooksaboutdiabetes.It isdesignedasatool forpatientstobeusedunder the guidanceoftheir physicians or diabetes educators. It covers,in a step by step fashion, virtually everythingthat must be done to keep bloodsugarsin the normalrange. In these pagesIattemptto presentnearlyeverything Iknowabout bloodsugarnormalization,how it canbeaccomplishedand main tained.Withthisbook, andwith thehelpofyour physicianordiabetes educator, Ihopethat you will learn to take controlofyour diabetes, whetherit'stype1 (juvenile onset), asmineis, or themuchmore commontype2(maturity onset)diabetes.Tomyknowledge, there is no other bookin print addressedstrictly to blood sugar control for bothtypes ofdiabetes.


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