What gives better results?
Why the regime of few carbohydrates and little insulin is the best way to treat diabetes?
Ron Raab B.ec.
President of the Insulin Corporation for Life
(Copyright - Ron Raab)
SUMMARY
This article briefly presents my personal experience before and after following a method to treat my diabetestype 1, insulin dependent;This method consists in combining an intake with few carbohydrates, little insulin, protein in a moderate and fat manner properly.
In the present, the inherent logic and the many advantages of this type 1 diabetes regime and type 2, as well as the inherent contradictions in a high -content method of carbohydrates and high insulin content, including the nutritional recommendations andof carbohydrates that give, among others, the American Diabetes Association, Australia diabetes and other diabetes associations, including the lack of evidence that supports its recommendations.
Reference is referred to some evidences that have arisen recently and that refer, for example, to the danger that blood glucose levels will increase after meals and explain how this regime can help avoid it.He points out that insulin infusor is not necessary to achieve an optimal level of blood sugar.
The New York Center Diabetes is mentioned that specializes in this method and that educated me in its use.This article is based on what I learned in that center and I have been applying since June 1998. It also includes the comments of my Australian doctor about the way in which my blood sugar control has improved and how hypoglycemia has decreased, as well asSome professional comments on aspects related to nutrition.It also refers to its application in developing countries in which the high price of insulin causes its lower job.
I record that this article does not represent the position of any of the medical organizations with which I work.The article reflects my experiences and personal observations resulting from having put into practice what I learned from responsible doctors and other people who promote this method.
Logic and experience with the method of consuming few carbohydrates /little insulin /protein in moderate /fatty quantities in appropriate quantity to control diabetes.
In 1957, at the age of 6 I was diagnosed with type 1 diabetes and started with a daily insulin injection that increased to two per day in 1959. In 1984 it increased to 3 daily and from 1994 to four per day.
In 1980 I began to make myself the blood glucose analysis and before that it did urine analyzes.Now I do the analysis 4 times a day (using a calibrated glucometer for plasma) and I also do exercises in a moderate way 2 or 3 times per week.
I have had some background retinopathy and a certain neuropathy, including a delay in emptying the stomach.This situation was getting worse before this new regime began and I was seriously worried.I did everything I could to reach really good blood glucose levels and followed the current recommendations of the Association of Diabetes and doctors, educators in diabetes and dietitians who recommended high consumption of carbohydrates and low sugars.In spite of this, I could not achieve almost normal glucose levels continuously and the result was that it increasingly had more severe hypoglycemia ... the recommendations did not serve me.
In 1998, through numerous contacts I learned that there was another method: a food plan consisting of the intake of few carbohydrates, low glycemic index foods along with a much lower insulin dose and the possibility of eatingProteinsI also visited a Diabetes Center in New York that specializes in this.Its director (Dr. Richard Bernstein) has had type 1 diabetes for more than 50 years.He has followed this diet for many years after performing many experiments and reported that his diabetes controls improved significantly.I also became interested in this method because I had observed over many years that my blood sugar improved when it was less my carbohydrate intake.This encouraged me even more to try a very different diet, although it was still something skeptical and looking for results.I was intrigued by the HBA1C (glycosylated hemoglobin) reports in the book of Dr. Bernstein and in the news reports;On the website: Link and in personal narratives.I firmly recommend to all those interested in reaching excellent blood glucose levels that read this book (Dr. Bernstein's Diabetes Solution - A Complete Guide To Achieving Normal Blood Glucose - Solution for Diabetes of Dr. Bernstein: Complete guide to obtain glucose innormal blood) Richard K. Bernstein, M.D.Publisher: Little Brown and Co.) Most of the book is available at no cost on the Internet, on the indicated page.
What we want to achieve is normal blood glucose levels and for me that was the main reason to examine this method of few carbohydrates.We all know that the current recommendation does not produce normal blood glucose levels continuously, moment by moment.
I did not follow this method before because the accepted and recommended regime was generally a diet with a high carbohydrate content and there was nothing to support or encourage trying such a radical change.As I have studied statistics and work professionally on the issue of diabetes, I also felt capable of reviewing the literature published in this regard.
The low carbohydrate diet has been very discussed in the United States and in other countries and continues to be;There is a growing discussion about it in magazines and conferences on diabetes.
I have experienced this diet a lot and since July 1998 I have reduced the total daily amount of 200 grams carbohydrates on that date up to 30 grams daily in 2000, all of them are of the type of slow absorption carbohydrates.
These are some of the results:
My dose of insulin has decreased by 55% to 16 units per day.My HBA1C has improved in 33% to 5.6% and continues to improve.There is much lower variation in daily blood glucose levels.Hypoglycemia is much less severe;Actually the casualties are very soft, I only need 3 tablets of 5 grams of glucose to recover the level.There are no more dramatic oscillations or need “extra time” to recover, which does happen regularly with the regime rich in carbohydrates and high in insulin.What relief!
My weight has dropped from 84 kg to 72 kg and the body mass index remains in the normal range;Retinopathy has stabilized (my ophthalmologist took special interest in this remarkable improvement);The blood pressure remains normal and the lipids are in the normal /acceptable range and have been most of the period of 4 years since I started this regime - having struggled to not consume the “bad” type of fats excessively.
It is important to note that hunger has decreased (insulin is a appetite stimulant and with this regime it has been necessary to use much less insulin).The regime causes much more motivation, less frustration and has greatly improved my subjective quality of life and my vision of life.However I still feel some hunger at night and I still experiment with the diet and type andRank of meals, especially at night.I trust that these will also decrease significantly.I continue to exercise slightly and regularly.I am excited to continue reducing my HBA1C even more.
I do not consider that this diet is "radical" or "fashion."It should not be confused with extreme diets that are published periodically, especially in the United States!It is not a diet with high protein content or with high content of saturated fats.
What is the explanation?
At many levels it is reasonable to reduce the daily intake of carbohydrates.Why should we eat so much of a type of food that causes instability of glucose in the blood and that needs (much) more insulin to (try to) correct that problem that in turn creates more problems?There is no evidences that favor a greater intake of carbohydrates instead of a minor in regard to blood glucose control ¡¡and yet this is what is generally promoted and recommended !!Likewise, kidney disease seems to be a consequence of the high blood glucose content and not a greater protein intake, according to professionals such as DR Bernstein and his expert colleagues.The general principles also apply to type 2 diabetes as indicated in detail in the book and on the website.
The higher the intake of carbohydrates, the greater the potential for it to be unpredictable to determine the moment and magnitude of the resulting increase in blood glucose.It's like adding more gasoline to a fire that cannot be controlled!We all know that it is much easier to control a small fire, which is not so unpredictable, than to keep under control a large fire to which a lot of fuel is being thrown …… and the same goes for the regime of few carbohydratesand little insulin.
We also know that insulin absorption (that is, the magnitude and time taken by insulin in reducing blood glucose) is variable, both between the different places and in the different times when it is injected.This variability also increases as the amount of insulin injected increases.This follows that a high carbohydrate (including one of slow absorption) and a high insulin concomitant regime must cause more erratic and unpredictable blood glucose profiles, compared to few carbohydrates and a low insulin regimeproperly compatible.That is the central point of the matter.The challenge to show me that it is not like that!So far no one has succeeded!I have discovered that people fail to understand the importance and implications of these realities, simple and inevitable.Ignore them at your own risk!
The lower the carbohydrate /insulin mixture;lower is variability and greater the possibility of predicting blood glucose levels.The glucose curve becomes basically flat.Everything fits when this method is followed and one feels wonderfully!
Although it seems surprising, this is implicit in the recommendation "Medical Nutrition Therapy" [1] of the American Diabetes Association (ADA), the nutritional recommendation of Australia diabetes and many other organizations.And yet, paradoxically they continue to recommend a regime rich in carbohydrates.For example, the ADA points out that food with starch (carbohydrate) will raise the concentration of glucose in the blood and the increase will depend on the speed and totality of the starch digestion in a meal, which can depend on many factors.This clearly points out that the more foods with starch eating at a meal, the greater the potential variability of blood glucose.Instead of logically recommending a lower carbohydrate intake recommendThe opposite, a great intake - up to 60% calories in carbohydrates, which can mean up to 300 grams of carbohydrates per day in some people !!Diabetes Australia provides similar recommendations.
It should be noted that the glucose tolerance test, which is sometimes used to diagnose diabetes, uses 100 grams of carbohydrates to press the body mechanism that regulates blood glucose to see if it rises above the normal level!Therefore, if one follows this advice of the ADA, it can very well force your body to digest or metabolize the equivalent of three loads of glucose tolerance tests every day!It is certainly a different carbohydrate, but the volume is the same.It makes no sense to submit such carbohydrate load to a body that already has a serious problem to metabolize carbohydrates!
Apparently the historical reason why this method has been promoted is that in the US in the early 50s it was seen that people with diabetes suffered high rates of heart disease.This was attributed to the highest consumption of fats, resulting from what was then a recommendation to consume less carbohydrates daily.The following was thought:
- "If we reduce fat consumption to reduce the risk of heart disease, what are patients to eat?"Therefore they decided to start increasing the amount of carbohydrates in order to provide the intake of calories they had as a goal.This was done without examining the implications that could have a greater intake of carbohydrates in the variation of blood glucose, the contribution of carbohydrates themselves to heart disease and the possible negative effects resulting from the highest levels of insulinnecessary to (try to) control blood sugar.This recommendation has remained to date and over time the percentage of calories of carbohydrates has been increasing.
However, we know that it is simply not true that all fats contribute to heart disease - saturated can do so but unsaturated fats can rather protect against these diseases.Therefore it follows that it is easy and sensibleDesired calories.A simple example of the calories that can be obtained from healthy unsaturated fats is adding olive oil to a salad.Two tablespoons of olive oil yields 360 calories - a very significant amount for daily needs and that can be easily increased in other forms with other unsaturated fats.
Therefore, the statement that a high intake in carbohydrates is indispensable to meet the caloric needs of diabetics due to heart disease.
The delay and variability in the emptying of the stomach (gastroparesis), due to a decreased function of the vagus nerve (diabetic neuropathy), adds to the variable and unpredictable levels of blood glucose.The greater the intake of carbohydrates so much greater is the magnitude of the unpredictable additional variability in glucose also due to this cause.
The delay in emptying the stomach can be very unpleasant and the symptoms vary from a light and painful discomfort.The effect of blood sugar control also depends directly on the volume of carbohydrates consumed.Large volumes can remain in the stomach for variable periods of time and then unpredictably and possibly in a verySudden, they can be ‘processed’ or ‘empty’ causing unpredictable sugar entry into the bloodstream.
In addition, the higher the amount of carbohydrates consumed, the greater the amount of insulin injected, but carbohydrates remain in the stomach without digesting for periods of unpredictable time.However, insulin is working logically and causing varying amounts of blood sugar with the possibility of large casualties.Then, after an unpredictable period of time, carbohydrates are digested and enter the bloodstream immediately raising blood sugar.
The great content of carbohydrates in food helps to increase the high blood glucose content and hypoglycemia in this situation.
Medical literature indicates that the stomach delayed emptying in diabetes occurs in 50% of patients with type 1 and type 2 diabetes.
It is not logical to promote a regime with a high carbohydrate content to those people!
And yet it is done all the time as part of conventional nutritional education that these patients are taught.
I challenge any reader to justify the diet rich in carbohydrates in such circumstances!I'm still waiting!
There is also continuous evidence that there is a relationship between high doses of insulin and the development of vascular diseases, including cardiac ailments, regardless of any other factor.This means that a person who follows a regime rich in carbohydrates is potentially increasing the risk of a heart disease, while a person who ingests few carbohydrates, and therefore is in a low insulin regime isavoiding the possible risk factor.
It is also speculated that the tragic phenomenon known as "death in bed" could also be caused by the large amounts of insulin that many take to compensate for the high intake of carbohydrates, thereby causing a decline that ends with his life, orthrough some other mechanism when the imbalance is particularly bad.This would be plausible, don't you think?
There are also more and more evidence of the damage that can cause brief increases in blood sugar, after meals, in the development of diabetes complications.Therefore, although the HBA1C level could be, for example 7.5%, which many consider reasonably good, the regime rich in carbohydrates and rich in insulin inevitably produces greater oscillations in blood sugar than its alternative, and still contributesmore to diabetes complications for this additional reason.I would actually point out that an HBA1C of 7.5% corresponds to an average of 200mg/dl (11.1 mmol/l) of blood sugar, which is more than double a normal blood sugar index of 85 mg/dl (4.7 mmol/l).
Recently, strong evidence has emerged that “certain types of carbohydrates can adversely affect blood cholesterol levels”- as a result of 5 major studies in Australia, Europe and the United States.
In Voice Diabetes (International Diabetes Federation), March 2002, it is indicated in an article by DR Swift, general secretary of ISPAD (International Society for Paediatric and Adolescent Diabetes [2]) that:
"Nutritional management is commonly described as one of the cornerstones in the attention of diabetes ... unfortunately it is the cornerstone perhaps less understood, less investigated and to which there is minimal adhesion ..."
The December 2001 edition of Diabetes Forecast (American Diabetes Association), indicates in an article entitled "Revolutionary Research - 2nd Part" in conclusion, which:
"theSubjects with type 2 diabetes experience clinically important improvements in triglyceride levels ... with a diet with high unsaturated monkey fatty acid content and that ... it is necessary to re -analyze the high -content of carbohydrates and few fats in type diabetes in the type diabetes2 ".
Happily, huge resources and efforts are invested in the development of new insulins and the press as well as medical literature has a lot of information and debates about the various diabetes profiles.However, there is not so much precision on the other face of the currency, the one on which insulin acts, especially carbohydrates!Therefore one variable is extremely regulated and the other is allowed to vary between extremely wide parameters.The result must be a greater variation in blood sugar.This is a biased approach, which lacks logic.With the carbohydrate /diet component, the same type of philosophy is being committed as happily, after many years it was corrected by the results of the study on the control of diabetes and its complications (DCCT).The majority of people understood in a logical and intuitive way that we should try to have a normal blood sugar index, and yet many considered that without "evidence", it was acceptable to allow very mediocre control of blood sugar.If this recommendation had been required to be justified with greater precision, many premature sufferings and deaths would have been avoided.In general, this same philosophy is being applied to recommendations on carbohydrates with worse results that would be obtained with other alternatives.
We can also compare it with the landing project on Mars that NASA had.Many of the most sophisticated and qualified scientists in the world were dedicated to the landing of the spacecraft on Mars in 2000. And yet they made a basic error.They did not realize that the Americans were using imperial (inches) units while Europeans, some of whom were also working on the project, were using the metric system (mm).This caused the ship not to get to Mars!The same goes for a regime rich in carbohydrates - we have many highly qualified and dedicated people developing extremely sophisticated regimes and yet care is not being paid to a fundamental issue: that blood glucose levels vary and will vary in form in a formMore and more unpredictable as the amount of carbohydrates increases.
Economic development countries
The logic of this method has enormous implications for the treatment of diabetes in developing countries.The cost of insulin in those countries is very high - often costs $ 30 and more per road - and the necessary monthly supply usually represents 50% or more of the average family income.The regime rich in carbohydrates requires much more insulin to try to improve blood sugar levels.By following a regime with low carbohydrates content, the dose of insulin will decrease very significantly as has happened with those of us who have adopted this regime.In my case, the dose of insulin has decreased to 60%.This would represent a very important financial savings for these people and this is something that we should never underestimate.In relative terms this would mean that an average person in a developed country save $ US500 per month!Obviously there may be other external elements, but this method is also very logical in this situation.As if that were not enough, blood glucose control would greatly improve, not only by the regime of few carbohydrates /little insulin, but alsoBecause many people could pay the volume of insulin they need!
Examples of flours
This is an example of a meal that satisfies and contains 12 grams of carbohydrates and 120 net protein grams:
-Sopa based on meat or fish concentrate
-The fresh vegetables
-Menec bistec or vegetable fish or protein
-Cooked seeing (not potatoes or similar)
-Chafé with a little milk
There is a whole world of delicious food and foods with few carbohydrates and that satisfy appetite, easy to obtain or prepare and there are other websites on the Internet as well as many books that bring similar recipes.Bernstein's book includes some menus specially prepared with this approach.It is a simple and practical regime that helps him take the reins of his own life.
Problems with the calculation of carbohydrates
Compare the recommended foods above with the following version with high carbohydrates, about 100 grams of carbohydrates and about 120 grams of total protein:
- Soup containing carbohydrates (eg canned soups that have many carbohydrates).
- 2 slices of bread or similar
- Middle fishing or paste /potatoes /corn
- Fruit /dessert with carbohydrates
- Milk coffee
If one is wrong when calculating 100 grams of carbohydrates (for example in 20%), then one will have 20 grams of carbohydrates excessively or missing.This can be translated into a variation of 80 mg/dl (4.4 mmol/l) at the blood glucose level for an average weight person.Even if the calculation of the amount is correct, the true components of the paste, for example, may not be well calculated.It could happen that the pasta is of a special type that has egg or a different type of flour.In addition to this, one will need much more insulin to (try to) to compensate for this great load of glucose, with all the variable and unpredictable that can be the absorption and action of insulin.Let's add to this that some gastroparesias (which has been reported in the majority of diabetics that have diabetes for more than 5-10 years) and we will have all the elements for a large variation of blood sugar, including the possibility of a severe decline insome time during the hours of food.Isn't this exactly what is happening to so many patients?Does this probable result not explain for itself?Their doctors and educators are telling them that they should try to have normal blood sugar levels (due to the results of the DCCT), and yet they are ordering them to have a diet rich in carbohydrates which evidentlyThat result becomes impossible!How about confusion!It is the formula of failure!
For many of those who follow that regime this also causes frustration, feeling of guilt, fear and depression, as happened to me when I tried to normalize my levels following that method.The method of consuming few carbohydrates and little insulin completely solved the underlying causes of these problems.
I have consulted on this matter to the head of the Metabolic and Obesity Research Laboratory and teacher of Medicine and Biochemistry of the Boston Medical Center in the United States.She believes that there is no reason for concern in the proportions and nature of a regime of few carbohydrates, protein in moderate amounts, fats in a moderate way, which proposes this method.It is simple to design such a regime to be complete from the nutritional point of view.
I have learned from experts that proteins and fats are essential nutrients, while carbohydrates are not.The body produces someCarbohydrates from proteins, especially when there is little or no carbohydrates in external food sources.The body manufactures such carbohydrates slowly, making it the penultimate form of carbohydrates in the glycemic index, which is wonderfully compatible with the profile of regular insulin.Almost 10% of the ‘real’ or net protein of a food is transformed in this way.Carbohydrates do not have nutrients that cannot be derived from other sources, for example, vitamins and minerals that are in some foods with carbohydrates, such as fruit.They also occur in salads and legumes.In any case, the regime described in this article is a regime of ‘few carbohydrates’ and not a regime ‘without carbohydrates’.Then, the regime of few carbohydrates passes all these tests and I challenge any reader to give me evidence in the opposite direction.It should be added that the current recommendation of consuming few fats, if it is taken to one extreme, is dangerous because it approaches the concept of ‘without fat’ while fat is a source of fatty acids indispensable for health.
The main pharmaceutical manufacturer, Bayer, now includes information about this method with the glucometers it sells in North America and cites diabetics who use this method as "living tests of the success of this method." A company of this size does not make comments like thislightly!
I have been invited to count my personal experience with this regime in numerous meetings of health professionals and diabetes associations in Australia, England and Japan.I made a presentation at the Annual Scientific Meeting of the Australian Diabetes Society and the Australian Diabetes Educators Association in August 2000 in the Symposium "Carbohydrates - more or less."
After this presentation, my doctor Richard Arnott, made a series of comments to the participants, including that
"The improvement in Ron's HBA1C has been extraordinary ... His hypoglycemia, formerly severe, has improved ... lipids remain in an acceptable range ...It is necessary to do more studies ... maybe it's time to question the accepted dogmas ... "
Professor Paul Moffitt AM, a diabetes specialist and awarded for his contribution to the treatment of diabetes by the Australian government wrote to me after my presentation and said:
"I firmly believe in the diet of few carbohydrates and I believe it for many years."
They will have already noticed my attitude towards the use of insulin infusor.First, those who use the infusor come to realize that it is not a substitute for the exact count of carbohydrates if you want to mainly maintain normal blood glucose levels continuously.Actually, those who take the blood sugar indicators seriously and use infusor while at the same time they eat ‘more’ carbohydrates end where they started;That is, trying to level carbohydrates and insulin with precision, and this is not possible when many carbohydrates are consumed.Logically there are many people who are happy with the infusor and that is fine.However, I can bet that while many carbohydrates do not achieve the same level of blood glucose control that is achieved with the regime of few carbohydrates /little insulin.In my opinion and based on my experience (I have been a user of the insulin infusor for many years in my struggle to better detect blood sugar), I can affirm that insulin infusor does not provide and cannot provide the same level ofBlood sugar control that does provide the regime of few carbohydrates.Therefore, infusor is unnecessary for the good blood glucose control andIt does not solve the basic problem: the unpredictable result of the consumption of higher amounts of carbohydrates.
It is usually answered that this method is too extreme or difficult for an "average" person to adopt.That was what I thought the first time I found it, however here I am after having experienced the change and feeling wonderfully happy with him and with the results obtained.As with all important change in life, the best method is to do it little by little and advance until one finds a level in which he feels good.Many will not want to reduce their daily carbohydrates to 30 grams, which is the level that will effectively give a normal level of blood sugar if done correctly.
Another example: the fruit has been an important part of my diet for 40 years before making this change and now I do not as fruit and not surprise it (although the avocado is part of my regime and a type of fruit could be considered).The important thing is that one does not despair with desperation saying "I know that this will give me much better levels of blood sugar, but it is too much for me!"Do it step by step and move forward ...
Any important change in life (such as starting in a new job, marrying or divorcing, having children, etc.) demands psychological and other types and the same goes for this regime.This has been much easier than I had thought.Once one understands and reorrates, this regime is integrated into our daily lives and becomes the new "normal."
I am trying to play a responsible role in the discussion and debate on these issues.For me, and for many others that now have almost normal blood sugar levels 24 hours a day, the only way to achieve them is with a regime of few carbohydrates.
In this article I have tried to show the veracity of this regime and its immense superiority when it comes to controlling blood sugar levels and for other important reasons, compared to the regime rich in carbohydrates.There will always be people who, although it admits this truth, will choose not to follow this regime or follow it only partially, just like smokers can decide to continue smoking for any reason that is.Just as we point out the dangers of the cigarette I have tried to demonstrate the dangers involved for the diabetics any regime based on the consumption of many carbohydrates and a lot of insulin because it necessarily leads to higher and more unpredictable levels of blood sugar.
There are health professionals who actively discourage.With all due respect to the challenge to review this article, point by point and refute or indicate where they consider that the reasoning is incorrect and that they indicate the reasons why they reject some point.Until now, every time I have asked for this, I have only received general answers, such as “a diet with few carbohydrates is not healthy” which avoids the central issues that I raise.I have not received any fact or evidence that can be considered in reasonable terms that refute the important point that I have raised here.
In our opinion, the medical and nutritional recommendation that is currently offered in the institutional system so that diabetics ingest diets with a high content of carbohydrates and a lot of insulin is helping to create very negative results.We consider that there are millions of people who would be much better with a regime of few carbohydrates.We believe that the recommendation to consume many carbohydrates as part of the diabetes treatment are causing suffering and enormous and unnecessary cost.
Medical opinions are evolving.We can examine theHistory of the discovery of penicillin by Alexander Fleming, who said this famous phrase "Penicillin was filed on a shelf for 10 years while accusing me of a healer."Another example, 300 years before, is the case of smallpox, when Sir Thomas Sydenham developed a treatment that reduced the mortality rate of 50% to about 2%.The English Medical College then tried to expel him!This resembles the regime of few carbohydrates in the treatment of diabetes.The sad thing is that many people will have to pay the price until it is finally understood and implemented.
Adopting a low carbohydrate regime is certainly a great change.It must be done responsibly and with expert support, with education that allows us to understand change, other special situations could occur, as in any other regime.People interested in this approach must be aware of this, for example with respect to the issue of acetones.Today there are excellent resources although one must be lucky to access them.
In relation to acetones, my weight loss was accompanied by some ketone bodies in the urine and they were related to low carbohydrates and exercise.This is an issue on which I needed competent and appropriate information.This (kethosis) is different from diabetic otoacidosis due to lack of insulin, for example.
On the subject of ketones, there is more information at Link and I recommend doing a search on 'ketoacidosis' and 'acetonas' (ketone bodies in urine; urinary ketones) urinary ketones)
In summary, less carbohydrates requires less insulin and this produces less variation and better prognosis in blood glucose levels.
The website of the website Link refers to my professional work.The insulin corporation for life, Insulin for Life Incorporated, was founded in 1999 after I had worked at the International Diabetes Institute in Melbourne, Australia for 20 years.
Now patients have the tools to maintain almost normal blood sugar levels all the time, if they are lucky enough to meet them and decide to use them ...
I am eternally grateful to Dr Bernstein and his colleagues who put me aware of this method.Thanks to them my life has changed.
Ron Raab B.ec.
President, Insulin for Life Incorporated
Link
Improving access to insulin and supplies for diabetics of poor countries.
[1] Nutritional medical therapy (N. of T)
[2] International Society of Diabetes in Children and Adolescents (N. of T)