Wed_Feb_20_06:01:30_PST_2019

Image: Goodreads

Every bookstore and library is filled with aisles upon aisles of books on health, diet and self-help. I confess to having very mixed feeling about these books. My approach is to read some of these books to see if they contain anything useful, while being deeply skeptical of embracing any one book or author as the ultimate truth.

Most authors have a central thesis or pet theory. They are often guilty of cherry picking research studies with conclusions that support their pet theory. Don't get me started on how flawed and biased many of the research studies are in the first place. Most books are full of exaggerated claims and promises of a miracle. Authors go to great lengths to explain why everyone who believes anything different is flat out wrong.

But now and then I read these books anyway, because despite everything I just said, I've also come across valuable information, different viewpoints, messages of hope, ideas for changing habits and useful tips and recipes. There is a grain of truth in the hype. I will post a book review every now and then if I come across a book which says something interesting. This is one I read last month.

The End of Diabetes: The Eat To Live Plan to Prevent and Reverse Diabetes by Joel Fuhrman, MD.

The crux of the book is this: Type II diabetes can be prevented and reversed with a nutrient dense diet of plant based foods. Here's what I took away from each of the chapters in this book. Quotes from the book are in italics.

Chapter 1: Understanding diabetes
The actual discussion of the causes of type I and type II diabetes in this chapter was quite garbled, in my opinion. But there is one bit of discussion at the end of the chapter that I really liked. Fuhrman criticizes the system of food exchanges used by the American Diabetic Association (ADA), which is the basis of how most nutritionists teach new diabetics to eat (for example, me when I was diagnosed with gestational diabetes). The ADA tries very hard to work with the standard American diet, recommending small portions of low-nutrient, low-fiber foods. "Cereal is OK, just eat only 1/2 cup of it"- that sort of thing. This leaves patients hungry and struggling to comply with the nutrition plan. Instead of just reducing portions of rice and tortillas when I had GD, I wish I had the sense to add in substantial portions of non-starchy vegetables which would have left me sated. Anyway, I agree with Fuhrman that the standard nutritional advice given to diabetics is very poor and it misses the boat.

Chapter 2: Don't medicate, eradicate
"Clearly our present dependency on drugs to control diabetes without an emphasis on dietary and exercise interventions is promoting diabetic complications and premature death in millions of people all over the world". Fuhrman explains how medications-including oral pills and insulin- give type II diabetics a false sense of security that their diabetes is under control which leads patients to continue living the very same lifestyle that led to the disease in the first place. "The best medicine for diabetics is a high-nutrient, lower-calorie diet and exercise, not drugs. This is the only approach that lowers cholesterol, lowers triglycerides, and lowers blood pressure as it drops weight and blood glucose".