Preface to the Revised and Updated Edition
Since the original publication of Dr. Bernstein’s Diabetes Solution,
in 1997, many new developments have occurred in the field of diabetes research, and as each significant one has come along, I have further refined my technique for normalizing blood sugars.
Preface to the Revised and Updated Edition
Since the original publication of Dr. Bernstein’s Diabetes Solution,
in 1997, many new developments have occurred in the field of diabetes
research, and as each significant one has come along, I have further
refined my technique for normalizing blood sugars.
This new, revised edition discusses new oral medications, new insulins,
new dietary supplements, new hardware (tools for the diabetic),and new
products. It also explores new techniques that I have developed for
more elegantly controlling blood sugars.
Despite this knowledge, the procedures outlined in this book and its
predecessors for attaining blood sugar normalization are practiced by
only a handful of enlightened physicians.
New approaches to weight loss will be found here, including a medication
that is wonderfully effective for carbohydrate craving, a finding that
has not, to my knowledge, ever been published before. You will also
see new approaches to treating diabetic gastroparisis, including a pharmaceutical
product of my own devising that you can have prepared by any compounding
chemist.
This new and revised edition builds upon the original edition of this
book and upon my two previous books about diabetes. It is, as the earlier
edition was, designed as a tool for patients, to be used under the guidance
of their physicians or diabetes educators. It covers, in a step by-step
fashion, virtually everything that must be done to keep blood
sugars in the normal range.
In these pages I attempt to present nearly everything I know about
blood sugar normalization, how it can be accomplished and maintained.
With this book, and with the help of your physician or diabetes educator,
I hope that you will learn to take control of your diabetes, whether
it’s type 1 (juvenile-onset), as mine is, or the much more common
type 2 (maturity-onset) diabetes. To my knowledge, there is no other
book in print addressed strictly to blood sugar control for both types
of diabetes.
This volume contains much material that may be new to many physicians
treating diabetes. It is my hope that doctors and health care professionals
will use it, learn from it, and do their best to help their patients
take control of this potentially deadly but controllable disease.
Although this book contains considerable background information on
diet and nutrition, it is intended primarily as a comprehensive how-to
guide to blood sugar control, including detailed instructions on techniques
for painless insulin injection and so on. It must, therefore, leave
out other related issues (such as pregnancy), some of which require
their own volumes. My office telephone number is listed several times
in this book, and we are always happy to hear from readers who seek
our latest recommendation for a blood sugar meter, other equipment,
or new medications. I urge you to visit the Web site for this book,www.diabetes-book.com.
The site contains some of my recent articles, a history of blood sugar
self-monitoring, links to other sites, testimonials from readers who
have tried the program, recipes, an opportunity to share your own experiences
in an ongoing chat group for diabetics and their loved ones, and more.
The site also permits you to forward information by e-mail to anyone
you think could benefit from this book.
Recent news releases and advertisements have described “developments”
and products that are not mentioned here, and you may be curious about
them. If a medication is not discussed here, then it is likely I have
deliberately omitted it as either useless or potentially harmful, or
it was not available when this volume was written. There are many drugs,
old and new, used in the treatment of diabetes. Some, like metformin,
or Glucophage, are truly wonderful, but others, such as the sulfonylureas,
are insidious and can destroy your body’s remaining insulin-producing
capability, if it has any. I have omitted anything I think is either
too far into the future to be of near-term consequence or is simply
not going to be effective at getting you on track. I have neither the
time nor the space to attempt to debunk every “miracle cure”
that comes along, most of which are neither miraculous nor cures.
Should you become pregnant while on this program, of all the medications
mentioned in this book, metformin, aspirin, and insulin are the only
ones you can continue without discussing first with your physician.
Many thousands of diabetics have successfully used this program. Like
them, if you, with your physician’s help, seriously follow these
guidelines, you should be able to avoid the discomfort of inappropriate
blood sugar swings. You may even be able to prevent or reverse the development
of many of the grave complications long associated with chronically
high blood sugars.
Finally, much of what I will cover in this book is in direct opposition
to the recommendations of the American Diabetes Association (ADA) and
other national diabetes associations.Why? Because if I had followed
those guidelines, they would have killed me long ago. Such conflicts
include the low-carbohydrate diet I recommend; the avoidance of oral
agents (such as sulfonylureas) that burn out surviving insulin-producing
beta cells in type 2 diabetics; my utilization of certain nutrients
to lower insulin resistance (new to this edition);my preference for
certain insulins over others, which I avoid; my desire to preserve remaining
beta cells (an alien concept to traditional practice); and my insistence
that diabetics are entitled to the same, normal blood sugars that non-diabetics
enjoy, rather than the ADA’s just-sort-of-in-the-maybe-normal
range.
Most important, unlike the ADA guidelines, ours work.
Richard K. Bernstein
More information at Dr. Bernstein’s
Corner
Copyright ©1997, 2003 by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form
or by any electronic or mechanical means, including information storage
and retrieval systems, without permission in writing from the publisher,
except by a reviewer who may quote brief passages in a review.
For
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