Dr Bernstein Excerpts

From ‘Dr Bernstein’s Diabetes Solution’:

On carbohydrates

‘What if I, a physician, told you, a diabetic, to eat a diet that consisted of 60 percent sugar equivalents, 20 percent protein and 20 percent fat? More than likely, you’d think I was insane…

So what are carbohydrates?

The technical answer is that carbohydrates are chains of sugar molecules. The carbohydrates we eat are mostly chains of sugar molecules. The shorter the chain, the sweeter the taste. Some chains are longer and more complicated (hence, ‘simple’ and ‘complex’ carbohydrates), having many links and even branches. But simple or complex, carbohydrates are made entirely of sugar’ (Page 139)

‘Some carbohydrate foods, like fruit, contain high levels of simple, fast-acting carbohydrates…Despite the old admonition that an apple a day keeps the doctor away, I haven’t had fruit since 1970…’ (Page 141)

On injecting insulin

‘A number of years ago, researches at the University of Minnesota demonstrated that if you inject about 20 units of insulin into your arm, you’ll get on average 39 percent variation in the amount that makes it into the bloodstream from one day to the next. They found that abdominal injections had only a 29 percent average variation, and so recommended that we use only abdominal injections’ (Page 111)

‘As a rule, I recommend that a single insulin injection not exceed 7 units for adults and proportionately less for children, depending on their weight.’  (Page 111)

On Blood sugar levels

‘Ideally, your blood sugar should be the same after eating as it was before. If blood sugar increases by more than 10 mg/dl after a meal, even if it eventually drops to your target value, either the meal content should be changed or blood sugar lowering medications should be used before you eat. Contrary to ADA guidelines, it was recently been shown that postprandial, or after-meal, blood sugars are more likely than fasting blood sugars to cause cardiovascular damage.’ (Page 178)

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