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866 Diabetes Solutions

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Click the arrow to play audio file:

click here if you cannot view audio player: PP-866.mp3

Bonus Interview:
Dr. Polonsky discusses the emotional impact of diabetes and how to avoid diabets burnout.

click here if you cannot view audio player: PolonskyDiabetesExtended.mp3

Bonus Interview:
Dr. Bernstein describes his diet in detail, to help people with diabetes achieve normal blood sugar.

click here if you cannot view audio player: BernsteinDiabetesExtended.mp3

Tune in to our radio show on your local public radio station, or sign up for the podcast and listen at your leisure. Here's what it's about:

Diabetes is increasing at an alarming rate in this country. An estimated 26 million Americans now have diabetes, though not all are aware of their metabolic condition. The complications can be devastating, but they are not inevitable.

Dr. Richard Bernstein has spent decades specializing in diabetes care, beginning with himself. He invented self-monitoring of blood sugar, now a common technique used to track how well diabetics are managing. In the process, he found that the usual dietary recommendations offered to people with diabetes are counterproductive. How does Dr. Bernstein help his patients achieve normal blood sugar levels?

Dr. Bill Polonsky is one of the country's leading diabetes educators. He addresses the psychological component of the disease and how to avoid diabetes burnout.

Find out how to remove obstacles to a healthy lifestyle and take charge of your own metabolism. Extended interviews with both experts are available for further information.

Guests: Richard K. Bernstein, MD, FACE, FACN, CWS, is director of The New York Diabetes Center in Mamaroneck, New York. He is the author of The Diabetes Diet, the ebook Beating Diabetes, and the most recent Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars. The photograph of Dr. Bernstein was taken by Steve Levitsky. Dr. Bernstein does a free teleconference once a month at www.askdrbernstein.net.

William H. Polonsky, PhD, CDE, is Chief Executive Officer of the Behavioral Diabetes Institute. He is also Associate Clinical Professor in Psychiatry at the University of California, San Diego. His website is www.behavioraldiabetes.org. His book is Diabetes Burnout: What to Do When You Can't Take it Anymore, a book for patients published by the American Diabetes Association.

The podcast of this program will be available the Monday after the broadcast date. The show can be streamed online from this site and podcasts can be downloaded for free for four weeks after the date of broadcast. After that time has passed, digital downloads are available for $2.99. CDs may be purchased at any time after broadcast for $9.99.

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Did you enjoy this radio show? Average rating: 4/5 (119 votes)
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9 Comments

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I am concerned about a medication called janumet. I have just stared taking it and it make me sick, so sick that my stomach cramps and I sometime vomit. It also lowers my sugar so low that I felt weak and dizzy. I talked to my doctor about this and he suggest that I have to adjust to it. I am not sure if i should ask for a different med or try to adjust.

Thanks,

PEOPLE'S PHARMACY RESPONSE: Janumet contains sitagliptin and metformin. The side effects you describe could be due to the metformin: http://www.peoplespharmacy.com/2000/04/01/metformin/

Most people will adapt, but if your blood sugar is lower than it should be, your doctor should help you adjust the dose or consider a different regimen.

In discussing burnout, it is difficult for people who do not live with Type I to appreciate that reminders and actions to manage the disease are required every couple of hours. Unlike a diet, there is no vacation, and mistakes in counting meal carbohydrates or miscalculating insulin dosages have painful consequences. Burnout is NOT an option.

after 40+ years as a type 2 diabetic * my A1C went DOWN from 8.2 to 6.5 after 1-year using HIS approach-bought the book-- trying to reach HIS magical AIC of 8.5--LOTS OF UPS AND DOWNS

currently on 4-500mg ea/metformin * 2-10mg ea/lisenpril * 1-180mg/verapamil @bed *
1-12.5mg/hydrochlorot * 1-81mg asprin * 1 tsp cinnamon(ceylon)* 1-400mg gymnema sylvestre
1-centrum vitamin**took glucapage but dropped my sugars too low with reaction

Bernstein has actually solved diabetes, for which he ought to have a Nobel Prize.

My husband, recently diagnosed with Type 2, started on his program immediately and also started on 500 mg metformin twice a day. His HbA1c was 9.4 at diagnosis, glucose 334. (That's about what his ferritin level was, and I learned in Bernstein's book that high ferritin ALONE can give you type 2 - he's had hemachromotosis for decades now, but no one ever warned about the diabetes risk.)

In two months he's dropped his glucose readings to under 100 most mornings and not over 120 at any point in the day. He's lost 16 pounds in two months - about 6 to go - with lots of exercise. Amazing!

However, don't expect your GP or diabetes "expert" to help you follow the Bernstein protocol. The ADA party line is followed at the diabetes clinics at both Duke and UNC-Chapel Hill, our local venues, and both places urged him to eat many more carbs and just take more drugs if he needs to!

They acknowledged his success but saw it as "unhealthy" and just not any fun.

They have a point: it's not fun, and you have to be highly motivated, which isn't so hard when you consider the consequences of uncontrolled diabetes. Even if you decide not to follow his program - to include some low-carb fruit, for example - his book has a wealth of invaluable information you need to know. For instance, you need vitamin C but above 500mg a day it will increase blood sugar.

I love this interview and I love this quote...Bernstein has actually solved diabetes, for which he ought to have a Nobel Prize. Thank you Joe and Terry. Dr. B is the source for diabetes. Please run everything by him when you have a question on diabetes. Dr. B taught me to normalize my blood sugar and round the clock as a Type 1! Now...please follow this up with an interview of Dr. Ron Rosedale...he is the best anti aging and metabolic specialist in the world. He holds the other half of the coin of health. Between the two of them...I am whole.

I love this interview and I love this quote...Bernstein has actually solved diabetes, for which he ought to have a Nobel Prize. Please listen to the bonus track.

Thank you Joe and Terry. Dr. B is the source for diabetes. Please run everything by him when you have a question on diabetes. Dr. B taught me to normalize my blood sugar and round the clock as a Type 1!

Now...please follow this up with an interview of Dr. Ron Rosedale...he is the best anti aging and metabolic specialist in the world. He holds the other half of the coin of health. Between the two of them...I am whole.

Congratulations to your husband, FM, for getting his health back through his own choices. If Duke University's "diabetes" group is unwilling to support his low-carb, high-fat diet, then maybe you should check out another department at Duke - Eric Westman's lifestyle clinic. Eric's a great researcher and clinician, and he's a world leader in researching and explaining low-carb diets. Such an irony, if he's not on the Duke University list of experts for you to consult.

Bernstein with Robt. Atkins should get Nobel prizes. They don't get the problems with low quality proteins and fats in poor areas, which is problematic, but does not take away from their contributions.

Dr. Polonsky has a point about the possibility that Dr. Bernstein's protocol might be more than some would be willing to stick with.

Dr. Bernstein micromanages his own diabetes because he said he probably has little or no beta cells left and he goes out of whack very easily. It has stood him in good stead since he was 80 in 2014.

My ex-husband died last August(2013). He was an out-of-control diabetic for many decades, including quite a few on dialysis.

He wound up hurting his foot and developed gangrene. The only reason it was discovered was because he had a cardiac problem that landed him in the hospital. His leg needed amputation above the knee and problems continued on from there.

Dr. Perlmutter's book, Grain Brain, might help someone move away from gluten containing products, thus reducing carbohydrates as well.

It sounds like an A1c of even 7 almost guarantees diabetic complications.

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