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Medical Forum / Diseases and Disorders / Diabetes / October 2005

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Doctor Bernstein's books

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Yolande Smith - 13 Oct 2005 18:08 GMT
Is it worth buying a copy of one of Dr Bernstein's  books and - if so -
which one?

Yolande
Nicky - 13 Oct 2005 19:51 GMT
> Is it worth buying a copy of one of Dr Bernstein's  books and - if so -
> which one?

I found his Diabetes Solution book interesting, and well worh re-reading.
His low-carb approach is too extreme for me, but his in-depth knowledge of
diabetes is worth plumbing.

I also own Gretchen Becker's Type 2 Diabetes; The First Year and the Eades'
Protein Power - for their insights on metabolism.

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Mogget - 18 Oct 2005 15:10 GMT
>> Is it worth buying a copy of one of Dr Bernstein's  books and - if so -
>> which one?
>
>I found his Diabetes Solution book interesting, and well worh re-reading.
>His low-carb approach is too extreme for me, but his in-depth knowledge of
>diabetes is worth plumbing.

I'll heartily second that, with the amendment that his low carb approach
suits me down to the ground.
Signature

Mogget

26 weeks

Nicky - 18 Oct 2005 17:40 GMT
> 26 weeks

Hey, Mogget - long time no see - how's it going?

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Mogget - 19 Oct 2005 00:14 GMT
>> 26 weeks
>
>Hey, Mogget - long time no see - how's it going?

Hey Nicky.  Yeah I haven't had much to say lately.  I'm kinda fair to
middling :-)

I had a dose of pneumonia a few weeks back, about six weeks I think,
which was just awful.  I'm still recovering from that.  Really I could
do with spending a season convalescing but that just isn't going to
happen.  I'm still so wiped out that I can't do much & poor Mr Mogget is
having to do most of the night shifts looking after my little two and a
half year old whirlwind, but I'm still knackered just looking after her
during the day.

Diabetes-wise it's pretty awful.  Blood sugar control has gone tits up.
I was trying so hard to keep it diet-controlled this time, but I can't,
with the expected result that the hospital put me on insulin.
Unfortunately it has exactly the same effect as it did last time - it
makes my blood sugars go UP.  So I'm not shooting any more, blood sugars
are bad (though less bad than they were when I was shooting) and I'm
dreading the next visit to the hospital - my refusal to shoot just makes
me look like I'm non-compliant, when in fact I'm managing things as best
I can.

I did go completely off the rails while I had the pneumonia.  I was so
desperate for relief from the pain of the coughing that I would eat a
whole tub of ice cream at a go to try cool my throat.  Blood sugars be
buggered; at the time I was more in danger of ripping my own lungs out.
So my next A1c is bound to be bad.

I had a growth scan @ 21 weeks and all looked good there.  Don't know
whether it's a boy or girl, but whatever it is it has long legs!
Otherwise all measurements are quite normal.  I'll have another @ 30
weeks, and I'm dreading that.  If the growth scans show that the baby is
growing big, I'll be under even more pressure to do it Their Way.

So all things considered I'm feeling pretty glum.  Oh yeah, and the
routine blood tests they keep doing when you're pregnant, they always
come back showing an underactive thyroid, which they always dismiss out
of hand "oh that's normal for pregnancy".  Well it may be normal, but
feeling this ill isn't, but apparently that doesn't count.  Why do they
bother testing, if they don't care what the results are?

How about you?
Signature

Mogget

Yolande Smith - 19 Oct 2005 08:23 GMT
> So all things considered I'm feeling pretty glum.  Oh yeah, and the
> routine blood tests they keep doing when you're pregnant, they always come
> back showing an underactive thyroid, which they always dismiss out of hand
> "oh that's normal for pregnancy".  Well it may be normal, but feeling this
> ill isn't, but apparently that doesn't count.  Why do they bother testing,
> if they don't care what the results are?

You are going through the mill at the moment.  I would suggest that you are
doing the right thing by rejoining in this group - I'm a new member but in
the month since I joined they have helped to pull me out of a deep
depression over my diabetes with their advice and humour.

Yolande
Nicky - 19 Oct 2005 08:26 GMT
>>> 26 weeks
>>
>>Hey, Mogget - long time no see - how's it going?
>
> Hey Nicky.  Yeah I haven't had much to say lately.  I'm kinda fair to
> middling :-)

Good grief, woman - you sound in serious need of a cuddle! What a rotten
time! Can you look forward to a better 3rd trimester, or did your daughter
give you a hard time then?

You want to come and live in Harwich for the rest of the pregnancy. I had
one FBG at 12, which meant nothing to me at the time, and no further tests
at all; they were cheering me on when my scans showed a big baby, they
wanted to beat their vaginal delivery record of 13+lbs with us! I was very
releived when she was "only" 10lbs 4oz... the point of which is, sprog has
its own metabolic system by now that can cope somewhat with challenges. You
just keep on keeping on as best you can.

Don't let the bu&^*&^s keep ignoring that underactive thyroid, though. They
might not want to pour thyroxine down the sprog's throat, but keep insisting
on tests after the birth, and for some time afterwards. You need to be very
sure that you're OK once the hormone swings have settled back down, I have a
clear memory of how, um, exciting it can be with a 2.5yo and a newborn...

In the meantime - {{{{{{{{{{Mogget}}}}}}}}} !!!

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Yolande Smith - 18 Oct 2005 17:54 GMT
> I'll heartily second that, with the amendment that his low carb approach
> suits me down to the ground.

Thanks Mogget. (Is that 26 weeks to the end of the world - or what?).  I;ve
been doing a modified Atkins approach - more green veg and less fat - and
have come down from 13.4 to 12.2 with absolutely no effort - can't believe
it.  There's a new Atkins cookbook called "Dr Atkins Quick & Easy New Diet"
and the savoury recipes are really quite good.  Can't speak for the desserts
and breads because I am not keen on either.

Yolande
Mogget - 18 Oct 2005 23:57 GMT
>> I'll heartily second that, with the amendment that his low carb approach
>> suits me down to the ground.
>
>Thanks Mogget. (Is that 26 weeks to the end of the world - or what?).

Heh.  Bloody feels like it.  Though it would be 14 weeks in that case,
because it referred to being 26 weeks pregnant.

> I;ve
>been doing a modified Atkins approach - more green veg and less fat - and
>have come down from 13.4 to 12.2 with absolutely no effort - can't believe
>it.

Clue me in - are you talking weight here, or A1c, or something else?
Whatever, congrats, and keep it up :-)

> There's a new Atkins cookbook called "Dr Atkins Quick & Easy New Diet"
>and the savoury recipes are really quite good.  Can't speak for the desserts
>and breads because I am not keen on either.

Ta.  I might look out for that.  I am getting soooooo bored with my
normal fare that it's not funny.
Signature

Mogget

Yolande Smith - 19 Oct 2005 08:23 GMT
> Heh.  Bloody feels like it.  Though it would be 14 weeks in that case,
> because it referred to being 26 weeks pregnant.

Congrats.  Long time since I was pregnant but I remember that it was the
last week that was the longest.  (My eldest is now 49).

>> I;ve
>>been doing a modified Atkins approach - more green veg and less fat - and
>>have come down from 13.4 to 12.2 with absolutely no effort - can't believe
>>it.
>
> Clue me in - are you talking weight here, or A1c, or something else?

Thankfully I was talking weight in stones - if it had been the other I would
be climbing up the wall.
> Whatever, congrats, and keep it up :-)
>
[quoted text clipped - 5 lines]
> Ta.  I might look out for that.  I am getting soooooo bored with my normal
> fare that it's not funny.

Got mine from Amazon.  It's not gourmet fare but it tastes good and is not
too American orientated.

Yolande
Peter C - 21 Oct 2005 17:30 GMT
> Is it worth buying a copy of one of Dr Bernstein's  books and - if so -
Bernstein's "solutions" book is a good read but you have to beware of which
edition you are getting in England ( tend to be off loading older versions
over here ). T2s are more impressed by his ideas than T1s it seems, mainly
because Bernstein hammers home to T2s that their main concern is handling
carbs. His own regime is eccentric but has worked for him ( hasn't eaten any
fruit for 40 years ). It's a case of adapting his philosophy for yourself.
His descriptions of the medical side of things ( on issues like
gastroparesis etc ) is also clear and readable.
But Bernstein has also changed his mind on important T2 topics - first
edition dead against medication of any kind for t2s, later editions
metformin is the best thing since sliced bread and now I understand that he
is recommending other meds as well.
Overall a T2 should read the "solutions" book as long as you can put what he
has to say into perspective.
Jenny - 21 Oct 2005 19:52 GMT
> But Bernstein has also changed his mind on important T2 topics - first
> edition dead against medication of any kind for t2s, later editions
> metformin is the best thing since sliced bread

Peter,

Bernstein did NOT change his mind on the subject of drugs for T2!

At the time his first book was published the only oral drugs available
in the U.S. were all sulfonylureas, which Bernstein, quite rightly,
warned might hasten beta cell burnout.

By the time the second book came out, metformin and the glitazones had
been approved in the U.S. market and been in use long enough that he was
able to observe them in his work with patients. He recommends both. And
his advice on how to use them is spot on.

His book treats the reader as an intelligent person who can be trusted
to want to know the details, unlike most diabetes books that
oversimplify everything to the point of idiocy. He explains how things
work and what he suggests you do, but with the information he gives you,
you can work out your own program.

I know that a lot of Type 1s don't like his insulin dosing ideas, and am
not able to comment on that, being a type 2, but his advice to Type 2s
has always been decades ahead of what we were hearing everywhere else
and it works. I credit him with saving my health. (I picked up his first
edition, quite literally, the day I was diagnosed.)

The other thing I love about his book, is that every time I reread it,
looking for information about some new facet of my diabetes, I find what
I'm looking for. There's just so much IN this book.

--Jenny

http://www.geocities.com/lottadata4u/  Type 2 Diabetes info
http://www.geocities.com/jenny_the_bean/  Low Carb info
Peter C - 21 Oct 2005 22:13 GMT
>> But Bernstein has also changed his mind on important T2 topics - first
>> edition dead against medication of any kind for t2s, later editions
[quoted text clipped - 3 lines]
>
> Bernstein did NOT change his mind on the subject of drugs for T2!

Jenny we are in agreement in general on Bernstein - an excellent book in
general.
But here is some of your post on the matter on 17 July 2004 ...
"There is a significant difference between the first edition of Bernstein
and
the second edition.  In the first he was very anti any drug but insulin.  In
the new edition he encourages people with Type 2 to use the drugs that
combat insulin resistance, particularly Avandia/Actos and Metformin.

I put his ideas into practice 6 years ago when I was first diagnosed and
found them extremely helpful.......However, I am not able to stay at the low
carb levels he recommends for more
than a couple months because I end up drained and exhausted."

And also in the latest edition he champions ALA and EPO which you tried and
found wanting.

I just warned ant newbie picking up Bernstein to be sure of which edition
they are reading becasue his ideas on meds for T2s are fluid and changing.

If you go to a public library you are more likely to find an old edition
that is anti-T2 medication.
Jenny - 21 Oct 2005 23:52 GMT
> Jenny we are in agreement in general on Bernstein - an excellent book in
> general.
[quoted text clipped - 4 lines]
> the new edition he encourages people with Type 2 to use the drugs that
> combat insulin resistance, particularly Avandia/Actos and Metformin.

But Peter, this is conceptually the same as what I just posted. There
were no drugs available in the US that combated insulin resistance at
the time the first book came out. So yes, he was against any drug but
insulin. Now that those drugs are available, he recommends them. In
fact, if I recall correctly (I don't have a copy of the first edition)
he mentioned in the first edition that metformin was going to be
approved soon in the U.S. and if it were, because of it's long track
record in Europe, it looked like it could be a very good drug for people
with diabetes.  So he is consistent.

But I agree, if both books are circulating, you don't want the older one.

It is not that his ideas have changed--he still believes sulfonylurea
drugs are poison for diabetics. It is just that there are new drugs
available which seem more helpful.

--Jenny

http://www.geocities.com/lottadata4u/  Type 2 Diabetes info
http://www.geocities.com/jenny_the_bean/  Low Carb info
 
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