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

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Overview

Since its first publication in 1997, Dr. Bernstein's Diabetes Solution has become the bible for diabetics. Dr. Richard Bernstein's groundbreaking approach to diabetes care enables you to take control of the disease by regulating your blood sugars. Dr. Bernstein himself is living proof of the success of his methods. Diagnosed with diabetes at age twelve, he was a successful business executive and engineer when he happened to discover a way to normalize his blood sugars, which in turn reversed many of the ...
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Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

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Overview

Since its first publication in 1997, Dr. Bernstein's Diabetes Solution has become the bible for diabetics. Dr. Richard Bernstein's groundbreaking approach to diabetes care enables you to take control of the disease by regulating your blood sugars. Dr. Bernstein himself is living proof of the success of his methods. Diagnosed with diabetes at age twelve, he was a successful business executive and engineer when he happened to discover a way to normalize his blood sugars, which in turn reversed many of the complications he had suffered from for years. At the age of forty-five, he entered medical school in order to publish his findings and eventually treat other diabetics. In this revised and updated edition, Dr. Bernstein provides an accessible, detailed guide to his revolutionary approach to regulating blood sugars and outlines his methods for preventing or reversing the long-term complications of diabetes. He offers the most up-to-date information on new products, medications, and supplements.

He explains the connection between obesity and type 2 diabetes, shows how to interrupt the cycle of obesity and insulin resistance, and reveals a new method for losing weight quickly and easily. With a strong emphasis on proper diet, Dr. Bernstein tells you what foods to avoid and why. His indispensable discussion of dietary planning includes guidelines for creating a customized meal plan, complete with forty new gourmet recipes in addition to forty low-carb, high-protein recipes from the first edition. Dr. Bernstein discusses the most recent breakthrough science and potential cures, including new uses of medication and exercise to control weight gain. The only book to detail step-by-step methods for normalizing blood sugars in both type 1 and type 2 diabetes, Dr. Bernstein's Diabetes Solution will help you take charge of your diabetes and live a longer, healthier life.

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Editorial Reviews

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In this revised and updated edition of his classic work, Dr. Bernstein reiterates the importance of diet in controlling the complications of diabetes. His revolutionary approach to keeping blood sugar levels down involves self-discipline and vigilance, and diabetics will find comprehensive information and support here. Both Type 1 and Type 2 diabetes respond to this plan; you can control weight gain, fainting, insulin buildup, and resistance with the right foods and moderate exercise. Supplemented with 40 new gourmet recipes and the latest scientific information and medical research, this is an indispensable tome for caregivers and patients alike.
Barry Sears
"Dr. Bernstein is a true pioneer in developing practical approaches to controlling a devastating disease that is growing at epidemic proportions in this country. This book should be in the library of every diabetic patient, and especially physicians who treat diabetes."
From the Publisher
"Dr. Bernstein is a true pioneer in developing practical approaches to controlling a devastating disease that is growing at epidemic proportions in this country. This book should be in the library of every diabetic patient, and especially physicians who treat diabetes."—Barry Sears, PhD, author of The Zone
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Product Details

  • ISBN-13: 9780316167161
  • Publisher: Little, Brown and Company
  • Publication date: 3/22/2007
  • Edition description: Revised & Updated
  • Pages: 544
  • Product dimensions: 6.50 (w) x 9.50 (h) x 1.62 (d)

Meet the Author

Richard K. Bernstein, MD, is one of the world's foremost experts in diabetes treatment and care. He is the author of six books about diabetes, including The Diabetes Diet. Dr. Bernstein is the emeritus director of the Peripheral Vascular Disease Clinic at Jacobi Medical Center, an instructor at New York Medical College, fellow of the American College of Nutrition, and as a consultant to the Department of Physical and Rehabilitation Medicine at Albert Einstein College of Medicine. An attending physician at North Bronx Healthcare Network, he also maintains a private practice in Mamaroneck, NY, where he lives.

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Read an Excerpt

Dr. Bernstein's Diabetes Solution


By Richard K. Bernstein

Little, Brown

Copyright © 2003 Richard K. Bernstein, M.D.
All right reserved.

ISBN: 0316099066


Chapter One

Diabetes

The Basics

Diabetes is so common in this country that it touches nearly everyone's life-or will. The statistics on diabetes are staggering, and a diagnosis can be frightening: diabetes is the third leading cause of death in the United States. According to the most recent statistics compiled by the National Institutes of Health (NIH), which cover through 1996, there were 10.3 million diagnosed diabetics in America, and approximately 5.5 million who have not yet been diagnosed. This number has no doubt increased. Nearly 800,000 new diabetics will be diagnosed per year, according to NIH statistics; that's three new cases every two minutes.

Even more alarming, the incidence of type 2-or what was once known as maturity-onset diabetes-among children eighteen years old and younger has skyrocketed. A Yale University study of obese children between ages four and eighteen appeared in the March 14, 2002, issue of the New England Journal of Medicine. The study found that nearly a quarter had a condition that's often a precursor to diabetes. According to USA Today's story on the report the same day, "The incidence of type 2 diabetes, the form that usually occurs in adults, has increased in young people, especially Hispanics, blacks, and Native Americans. Some regional studies suggest the incidence of type 2 in children has jumped from less than 5%, before 1994, to up to 50%." That children are increasingly getting a disease that once targeted fifty- to sixty-year-olds presents a new and frightening potential public health disaster.

Each year, tens of thousands of Americans lose their eyesight because of diabetes, the leading cause of new blindness for people ages twenty-five to seventy-four. Ninety-five percent of diabetics have type 2 diabetes. Because 80 percent of type 2 diabetics are overweight, many inappropriately feel that the disease is their own fault, the result of some failure of character.

Since you are reading this book, you or a loved one may have been diagnosed recently with diabetes. Perhaps you have long-standing diabetes and are not satisfied with treatment that has left you plagued with complications such as encroaching blindness, foot pain, frozen shoulder, inability to achieve or maintain a penile erection, or heart or kidney disease.

Although diabetes is still an incurable, chronic disease, it is very treatable, and the long-term "complications" are fully preventable. For nearly sixty years, I've had type 1 diabetes, also called juvenile-onset or insulin-dependent diabetes mellitus (IDDM). This form of diabetes is generally far more serious than type 2, or non-insulin-dependent diabetes mellitus (NIDDM), although both have the potential to be fatal. Most type 1 diabetics who were diagnosed back about the same time I was are now dead from one or more of the serious complications of the disease. Yet after living with diabetes for nearly sixty years, instead of being bedridden or out sick from work (or dead, the most likely scenario), I am more fit than many nondiabetics who are considerably younger than I. I regularly work 12-hour days, travel, sail, and pursue a vigorous exercise routine.

I am not special in this regard. If I can take control of my disease, you can take control of yours.

In the next several pages I'll give you a general overview of diabetes, how the body's system for controlling blood sugar (glucose) works in the nondiabetic, and how it works-and doesn't work-for diabetics. In subsequent chapters we'll discuss diet, exercise, and medication, and how you can use them to control your diabetes. If discussion of diet and exercise sounds like "the same old thing" you've heard again and again, read on, because you'll find that what I've observed is almost exactly the opposite of "the same old thing," which is what you've probably been taught. The tricks you'll learn can help you arrest the diabetic complications you may now be suffering, may reverse many of them, and should prevent the onset of new ones. We'll also explore new medical treatments and new drugs that are now available to help manage blood sugar levels and curtail obesity.

THE BODY IN AND OUT OF BALANCE

Diabetes is the breakdown or partial breakdown of one of the more important of the body's autonomic (self-regulating) mechanisms, and its breakdown throws many other self-regulating systems into imbalance. There is probably not a tissue in the body that escapes the effects of the high blood sugars of diabetes. People with high blood sugars tend to have osteoporosis, or fragile bones; they tend to have tight skin; they tend to have inflammation and tightness at their joints; they tend to have many other complications that affect every part of their body, including the brain, with impaired short-term memory.

Insulin: What It Is, What It Does

At the center of diabetes is the pancreas, a large gland about the size of your hand, which is located toward the back of the abdominal cavity and is responsible for manufacturing, storing, and releasing the hormone insulin. The pancreas also makes several other hormones, as well as digestive enzymes. Even if you don't know much about diabetes, in all likelihood you've heard of insulin and probably know that we all have to have insulin to survive. What you might not realize is that only a small percentage of diabetics must have insulin shots.

Insulin is a hormone produced by the beta cells of the pancreas. Insulin's major function is to regulate the level of glucose in the bloodstream, which it does primarily by facilitating the transport of blood glucose into most of the billions of cells that make up the body. The presence of insulin stimulates glucose transporters to move to the surface of cells to facilitate glucose entry into the cells. Insulin also stimulates centers in the brain responsible for feeding behavior. Indeed, there is some insulin response even as one begins to eat, before glucose hits the bloodstream. Insulin also instructs fat cells to convert glucose and fatty acids from the blood into fat, which the fat cells then store until needed. Insulin is an anabolic hormone, which is to say that it is essential for the growth of many tissues and organs. In excess, it can cause excessive growth-as, for example, of body fat and of cells that line blood vessels. Finally, insulin helps to regulate, or counterregulate, the balance of certain other hormones in the body. More about those later.

One of the ways insulin maintains the narrow range of normal levels of glucose in the blood is by regulation of the liver and muscles, directing them to manufacture and store glycogen, a starchy substance the body uses when blood sugar falls too low. If blood sugar does fall even slightly too low-as may occur after strenuous exercise or fasting-the alpha cells of the pancreas release glucagon, another hormone involved in the regulation of blood sugar levels. Glucagon signals the muscles and liver to convert their stored glycogen back into glucose (a process called glycogenolysis), which raises blood sugar. When the body's stores of glucose and glycogen have been exhausted, the liver, and to a lesser extent the kidneys and small intestines, can transform some of the body's protein stores-muscle mass and vital organs-into glucose.

Insulin and Type 1 Diabetes

As recently as eighty years ago, before the clinical availability of insulin, the diagnosis of type 1 diabetes-which involves a severely diminished or absent capacity to produce insulin-was a death sentence. Most people died within a few months of diagnosis. Without insulin, glucose accumulates in the blood to extremely high toxic levels; yet since it cannot be utilized by the cells, many cell types will starve. Absent or lowered fasting (basal) levels of insulin also lead the liver, kidneys, and intestines to perform gluconeogenesis, turning the body's protein store-the muscles and vital organs-into even more glucose that the body cannot utilize. Meanwhile, the kidneys, the filters of the blood, try to rid the body of inappropriately high levels of sugar. Frequent urination causes insatiable thirst and dehydration. Eventually, the starving body turns more and more protein to sugar.

The ancient Greeks described diabetes as a disease that causes the body to melt into sugar water. When tissues cannot utilize glucose, they will metabolize fat for energy, generating by-products called ketones, which are toxic at high levels and cause further water loss as the kidneys try to eliminate them (see the discussion of ketoacidosis and hyperosmolar coma, in Chapter 21, "How to Cope with Dehydration, Dehydrating Illness, and Infection").

Today type 1 diabetes is still a very serious disease, and still eventually fatal if not properly treated with insulin. It can kill you rapidly when your blood glucose level is too low-through impaired judgment or loss of consciousness while driving, for example-or it can kill you slowly, by heart or kidney disease, which are commonly associated with long-term blood sugar elevation. Until I brought my blood sugars under control, I had numerous automobile accidents due to hypoglycemia, and it's only through sheer luck that I'm here to talk about it.

The causes of type 1 diabetes have not yet been fully unraveled. Research indicates that it's an autoimmune disorder in which the body's immune system attacks the pancreatic beta cells that produce insulin. Whatever causes type 1 diabetes, its deleterious effects can absolutely be prevented. The earlier it's diagnosed, and the earlier blood sugars are normalized, the better off you will be.

At the time they are diagnosed, many type 1 diabetics still produce a small amount of insulin. It's important to recognize that if they are treated early enough and treated properly, what's left of their insulinproducing capability frequently can be preserved. Type 1 diabetes typically occurs before the age of forty-five and usually makes itself apparent quite suddenly, with such symptoms as dramatic weight loss and frequent thirst and urination. We now know, however, that as sudden as its appearance may be, its onset is actually quite slow. Routine commercial laboratory studies are available that can detect it earlier, and it may be possible to arrest it in these early stages by aggressive treatment. My own body no longer produces any insulin at all. The high blood sugars I experienced during my first year with diabetes burned out, or exhausted, the ability of my pancreas to produce insulin. I must have insulin shots or I will rapidly die. I firmly believe-and know from experience with my patients-that if the kind of diet and medical regimen I prescribe for my patients had been utilized when I was diagnosed, the insulin-producing capability left to me at diagnosis would have been preserved. My requirements for injected insulin would have been lessened, and it would have been much easier for me to keep my blood sugars normal.

Blood Sugar Normalization: Restoring the Balance

According to the NIH, nearly 200,000 people die annually from both type 1 and type 2 diabetes and their long-term complications-and it is the NIH's contention that diabetes is grossly underreported on death certificates. (Is a diabetic's death from heart disease, kidney disease, or stroke, for example, really a death from diabetes?)

Certainly everyone has to die of something, but you needn't die the slow, torturous death of diabetic complications, which often include blindness and amputations. My history and that of my patients support this.

The Diabetes Control and Complication Trial (DCCT), conducted by the NIH's National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), began in 1983 as a ten-year study of type 1 diabetics to gauge the effects of improved control of blood sugar levels. Patients whose blood sugars were nearly "normalized" (my patients' blood sugars are usually closer to normal than were those in the intensive care arm of the trial because of our low-carbohydrate diet) had dramatic reductions of long-term complications. Researchers began the DCCT trying to see if they could, for example, lessen the frequency of diabetic retinopathy by at least 33.5 percent.

Instead of a one-third reduction in retinopathy, they found more than a 75 percent reduction in the progression of early retinopathy. They found similarly dramatic results in other diabetic complications and announced the results of the study early in order to make the good news immediately available to all. They found a 50 percent reduction of risk for kidney disease, a 60 percent reduction of risk for nerve damage, and a 35 percent reduction of risk for cardiovascular disease.

I believe that with truly normal blood sugars, which many of my patients have, these reductions can be 100 percent.

The patients followed in the DCCT averaged twenty-seven years of age at the beginning of the trial, so reductions could easily have been greater in areas such as cardiovascular disease if they had been older or followed for a longer period of time. The implication is that full normalization of blood sugar could totally prevent these complications. In any case, the results of the DCCT are good reason to begin aggressively to monitor and normalize blood sugar levels. The effort and dollar cost of doing so does not have to be remotely as high as was suggested in the DCCT's findings.

The Insulin-Resistant Diabetic: Type 2

Different from type 1 diabetes is what is officially known as type 2. This is by far the more prevalent form of the disease. According to statistics from the American Diabetes Association, 90-95 percent of diabetics are type 2. Furthermore, as many as a quarter of Americans between the ages of sixty-five and seventy-four have type 2 diabetes. A recent study, published by Yale University, discovered that 25 percent of obese teenagers now have type 2 diabetes.

(A new category of "pre-diabetes" has been recently called latent autoimmune diabetes, or LADA. This category applies to mild diabetes with onset after the age of thirty-five, in which the patient has been found to produce an antibody to the pancreatic beta cell protein called GADA, just as in type 1 diabetes. Eventually these people may develop overt diabetes and require insulin.)

Approximately 80 percent of those with type 2 diabetes are overweight and are affected by a particular form of obesity variously known as abdominal, truncal, or visceral obesity. It is quite possible that the 20 percent of the so-called type 2 diabetics who do not have visceral obesity actually suffer from a mild form of type 1 diabetes that causes only partial loss of the pancreatic beta cells that produce insulin. If this proves to be the case, then fully all of those who have true type 2 diabetes may be overweight. (Obesity is usually defined as being at least 20 percent over the ideal body weight for one's height, build, and sex.)

Continues...


Excerpted from Dr. Bernstein's Diabetes Solution by Richard K. Bernstein Copyright © 2003 by Richard K. Bernstein, M.D.
Excerpted by permission. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

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Table of Contents


Foreword   Frank Vinicor, MD, MPH     vii
Preface to the Newly Revised and Updated Edition     ix
My Life with Diabetes: Well Beyond a Half Century and Counting     xii
Acknowledgments     xxi
Before and After: Fourteen Patients Share Their Experiences     3
Before You Start
Diabetes: The Basics     33
Tests: Baseline Measures of Your Disease and Risk Profile     52
Your Diabetic Tool Kit: Supplies You Will Need and Where to Get Them     66
How and When to Measure Blood Sugar     75
Recording Blood Sugar Data: Using the Glucogkaf III Data Sheet     83
Strange Biology: Phenomena Peculiar to Diabetes That Can Affect Blood Sugar     91
The Laws of Small Numbers     102
Establishing a Treatment Plan: The Basic Treatment Plans and How We Structure Them     109
Treatment
The Basic Food Groups, or Much of What You've Been Taught About Diet Is Probably Wrong     123
Diet Guidelines Essential to the Treatment of All Diabetics     138
Creating a Customized Meal Plan     167
Weight Loss - If You're Overweight     184
How to Curb Carbohydrate Craving or Overeating Using Self-Hypnosis or Low-Risk Medications     196
Using Exercise to Enhance Insulin Sensitivity     211
Oral Insulin-Sensitizing Agents, Insulin-Mimetic Agents, and Other Options     235
Insulin: The Basics of Self-Injection     249
Important Information About Various Insulins     264
Simple Insulin Regimens     276
Intensive Insulin Regimens     284
How to Prevent and Correct Low Blood Sugars     317
How to Cope with Dehydration, Dehydrating Illness, and Infection     344
Delayed Stomach-Emptying: Gastroparesis     357
Routine Follow-up Visits to Your Physician     381
What You Can Expect from Virtually Normal Blood Sugars     385
Your Diabetic Cookbook
Recipes for Low-Carbohydrate Meals     391
Appendices
What About the Widely Advocated Dietary Restrictions on Fat, Protein, and Salt, and the Current High-Fiber Fad?     443
Don't Permit Hospitalization or Lengthy Outpatient Procedures to Impair Your Blood Sugar Control     462
Drugs That May Affect Blood Glucose Levels     465
Foot Care for Diabetics     473
Polycystic Ovarian Syndrome     477
Glossary     482
Recipe Index     493
General Index     495
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Customer Reviews

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( 32 )
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See All Sort by: Showing 1 – 20 of 33 Customer Reviews
  • Posted August 1, 2011

    Highly recommend! It will save your life!

    Reading this bok literally saved my husband's life. He has type 2 diabetes. I read this book about 8 years ago. At that time my hsband had been suffering from the diabetes for over 20 years. He was 80 pounds over weight, had severe nueropathy in both his feet - he could not walk over 75 ft he was on heavy pain medication for the neuropathy, he was on 43 units of insulin a day.

    After reading Dr. Berstein's book, we both went ont a low carb diet. Within 3 months my husband came off of insulin and has never gone back, he lost 80 pounds within 9 months and has never put it back. The nueropathy is gone. He walked in 2 5K races and off pain medication for the nueropathy for 6.5 years. He is back to being the wonderful man I married.

    I have my husband back!! My children say that of our 13 grandchildren the second set know a different grandfather than the first set.

    After reading Dr. Bernsteins

    11 out of 11 people found this review helpful.

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  • Posted November 15, 2008

    Very strict but will render results

    Dr. Bernstein's book will result in lowering your blood glucose level. However, it is extremely difficult to follow -- he recommends only 6 grams of carbs for breakfast, and 12 grams for lunch and dinner, no fruits of any kind, only a few slices of lettuce & avocado. Absolutely no grains or cereals or pasta or bread of any kind. So basically, if you follow his strict diet, you'll be eating lean protein with 1/2 cup of broccoli or lettuce, and 2 nuts. Is that possible? Maybe, if you're a zealot with no human cravings for rice or bread or pasta EVER. <BR/><BR/>I found a lot of useful information in this book though, such as his exercising program -- he states aerobic exercises are of no value to diabetics, which I found very revolutionary. Instead, he recommends resistance anaerobic training, inverse-pyramid method. I have tried this exercise out, and sure enough, it is a lot more difficult than walking or running for 30 minutes. But it does appear to build more muscle.<BR/><BR/>I felt depressed rather than hopeful after reading this book. To not be able to ever eat an apple or a piece of fruit is depressing. I can deal with not having a pie, cake, chocolate or cookies. But to snack on a sugar-free Jello with 1 tablespoon of whip cream for the rest of my life surely sucks and makes me wish for a cure instead of having to follow this impossible low-carb diet.<BR/><BR/>Read this book for what it's worth -- it has very good information & a personally inspiring story but I am not sure if you'll feel very hopeful after reading it in terms of managing your diabetes.

    9 out of 12 people found this review helpful.

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  • Posted January 1, 2012

    A very gifted doctor!

    I used to be a patient of Dr. Bernstein, until it became grievous for me to travel from NJ to his office in Mamaroneck, NY on a regular basis. He is wonderful and has the ability to take complex things and render them simple enough for the layperson to understand.

    I own this book in hardcover and I was thrilled to be able to obtain this as a nook book that is more portable. As I almost always have my Nook with me, this wonderful reference book is more available.

    5 out of 5 people found this review helpful.

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  • Anonymous

    Posted February 22, 2012

    Best Diabetes book I've found so far

    My husband was diagnosed with Type II Diabetes 5 years ago. This book has provided us with information he NEVER got from his doctors or dietitians. In one month, his glucose numbers have dropped by 100 points by following this diet. It's very restrictive, but well worth the effort it takes. In addition to the dietary advice, there is a lot of good information on how your blood sugar responds to various environmental and other conditions. I love that Dr. Bernstein challenges you to TEST his statements, but monitoring your own blood sugar when you modify anything in your diet. The feedback from the self-monitoring has provided incentive for my husband to stick with what works. We are planning to find a copy of the book to bring to his doctor, so maybe the doctor will help us and other patients use this method.

    4 out of 4 people found this review helpful.

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  • Anonymous

    Posted March 16, 2009

    Dr. Bernstein's Diabetes Solution

    I recommend this book for all diabetics, either Type 1 or Type 2, or for people who buy groceries and cook for a diabetic. Dr. Bernstein tells you exactly what you need to know to control blood glucose. I order this book as gifts for all my freinds when they discover that they or a family member is diabetic. Believe what you read in this book! The man knows what he is talking about, because he himself is a Type 1 diabetic!

    4 out of 4 people found this review helpful.

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  • Anonymous

    Posted November 22, 2000

    This book is a LIFE SAVER!!!!

    This is the BEST book I've ever read. It has undoubtedly saved my life. When I started reading this book on June 27, 2000 my blood sugar was at 550 mg/dl. You KNOW what THAT means?? It's WAYYYY too high! Now, it is mid-November 2000, I have lost weight, and most importantly, my blood sugars are registering in the 120-160 range! I feel SO much better. The thing I don't understand is WHY more diabetics aren't told about the fact that complex carbohydrates turn into sugar instantly once they hit your saliva! Amazing. Anyway - this book is EXTREMELY well written, and the assertions Mr. Bernstein makes are backed up with evidence and facts, not just hype. It is written from the point of view of an engineer- - dealing in numbers and logic, not in anything weird or fuzzy. What I really love is that he tells it straight, and offers for each thing that you read that sounds really weird - that you try it yourself and test your OWN blood sugar and track the results.... I like that. He basically says, 'don't believe me - try it yourself and see for yourself'! Anyway! This is an excellent book, and an excellent method for blood-sugar control! PLEASE READ IT! :)

    4 out of 5 people found this review helpful.

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  • Anonymous

    Posted October 31, 2000

    There is light at the end of the Tunnel !!!!!

    To all : After being diagnosed with type 2 diabetes roughly 15 months ago , I have got my blood sugar totally under control. After reading Dr. Bernstein's book (Diabetes Solution), I am still in disbelief. I was a victim of several Doctor's and Endocrinologists who were too busy to outline a treament and diet for me as did Dr. Bernstein . If you or anyone you know are living with this unforgiving disease , you owe it to yourself to read a book that was written by someone who has been suffering from it for 50+ years. P.S. Any M.D.'s reading ? My Hemoglobin A1C went from 11.0 to 4.5 in just 6 months.How is that for results ??? I feel great.

    4 out of 4 people found this review helpful.

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  • Anonymous

    Posted February 13, 2000

    I FINALLY UNDERSTAND!

    As a type two diabetec for 8 years who has recently become insulin dependent, I've never been more frustrated in my life. The regimes and diet recommended by my doctors, diabeticians and dieticians - have failed me miserably. I've been so bewildered and dispondent, unable to understand what was happening to me or why I had such horrible high blood sugar levels - in spite of following the diet, in spite of working out in the gym with aerobics for 45 minutes a day. In less than two months of going on insulin, the doctors had to increase my insulin from the original 20 units a day to 52 units a day. My weight ballooned - I gained 45 pounds within 6 weeks of insulin therapy. No I did not overeat. I followed the doctor's and dieticians recommendations to a T. But still I gained. I became depressed, disgusted and unable to stop the numbers (both weight and blood sugar) from climging. I searched the internet in sheer frustration, for information, to try and understand what was happening and why, to find the help my doctors were unable to give me. In that effort, I found Dr. Bernstein's book and within less than a week of following his recommendations, my average BG levels have fallen from 240 to 140. I have reduced my own insulin intake by 12 units a day, more to follow! I truly find this book to be a life saver. I wish I'd have found it a few years ago - I'm sure it would have prevented me from having to go on insulin. So far, Dr. Bernsteins theories have worked for me. I'd certainly recommend this book for anyone in similar circumstances.

    4 out of 4 people found this review helpful.

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  • Posted March 2, 2009

    Very Informative

    My husband has diabetes and this book has given us some tips on what to look for in processed foods and what to stay away from. I recommend this book as a guide for living with both Type 1 and Type 2 diabetes.

    3 out of 4 people found this review helpful.

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  • Anonymous

    Posted March 8, 2004

    Best Book written on Type I and Type II Diabetes.

    I am an MD of 47 yrs experience; a retired Surgeon, and now practicing Internal Medicine for the past 11 years in a University System. This is the first and only book that makes sense of the myriad problems related to T1DM and T2DM. It concisely explains the problems and gives the solutions. This should be required reading for Medical Students and Residents in Internal Medicine. Dietitians don't have a clue when it comes to Diabetes. The so called Food Pyramid and system of food exchanges is a disaster and defies reason for anyone to follow. Many of my Type II patients have not only controlled sugars, but have gotten off all medications and maintained excellent control when coupled with significant weight loss. I've had the same experience with Type II Diabetic Patients undergoing gastric bypass surgery. Not only do these patients control their sugar but regain complete control with a normal response to a glucose challenge.

    3 out of 3 people found this review helpful.

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  • Anonymous

    Posted May 14, 2000

    Diabetics! Save Your Life--Read This Book!

    Since developing diabetes type II in the early 1990s, my blood sugar level raged out of control from the 200's to the high 300's. At first I failed to take my disease seriously. Later, when I recognized that this was, indeed, happening to me (I'd lived in denial for quite a while), the traditional treatments and diets produced few results other than frustration. Then I found Dr. Bernstein's book. It scared me. It awakened me. And it saved me. Yep. I figure that Dr. Bernstein's book probably saved my life. Since adopting his diet program my blood sugars range from the 90's to low 100's. Whenever I overhead people discussing diabetes, I boldly interrupt and urge them to save their loved ones by purchasing Dr. Bernstein's Diabetes Solution. John Ben Sutter, Sugar Land, Texas (ironic that I'd live in 'Sugar Land,' don't you think?)

    3 out of 3 people found this review helpful.

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  • Anonymous

    Posted January 4, 2000

    Finally 'normal' glucose levels

    Bought this book for my father-in-law after reading 'Beyond the Zone' and seeing references to it. Finally, after years of glucose levels fluctuating between 200 & 350, he has his glucose levels down to a fairly steady 110, in less than 2 weeks... We are expecting this to become even better as he 'fine tunes' his insulin & diet.

    3 out of 4 people found this review helpful.

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  • Posted March 18, 2012

    If you have blood sugar issues, you need this book

    After you read this book, you will understand diabetes and how to live with it. No other source I have come across is as good and as non biased.

    2 out of 2 people found this review helpful.

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  • Anonymous

    Posted January 14, 2000

    The best book written on the subject

    This author is both a medical doctor and a diabetic. The advice that he gives works very well. He knows, he has lived his advice. The doctor is living proof of a diabetic, that has had diabetes for over 50 years.

    2 out of 3 people found this review helpful.

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  • Anonymous

    Posted May 10, 2013

    Excellent book for diabetic,

    Great information for both a diabetic 1 and those with diabetes 2. Recommended

    1 out of 1 people found this review helpful.

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  • Posted February 14, 2014

    more from this reviewer

    A real, real-world help!

    As a 7+ year type II Diabetic, I have found this to be one of the very best books I've read on the subject. Real world stuff, helped by the fact that Dr. Bernsein has been a Type I diabetic since childhood.

    He is uncompromising and honest in his approach, no sugar-coating (pun half-intended) of the hard facts--but the real way to make this work.

    I've really enjoyed the electronic Nook version on my ipad; great to highlight sections and look up info, jump from section to section. This guy went to medical school at age 48, and his passion and personal story shine through on every page. Yeah, I liked it.

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  • Anonymous

    Posted February 3, 2013

    highly recommended

    Great medical information.

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  • Anonymous

    Posted February 17, 2009

    No text was provided for this review.

  • Anonymous

    Posted December 16, 2012

    No text was provided for this review.

  • Anonymous

    Posted January 25, 2010

    No text was provided for this review.

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