Eat to Live by Joel Fuhrman
Author:Joel Fuhrman [Fuhrman, Joel]
Language: eng
Format: epub, mobi, pdf
Tags: Health & Fitness
ISBN: 9780316120913
Google: wrFzRAAACAAJ
Publisher: Little Brown & Co
Published: 2011-01-05T01:41:50+00:00
I typically continue or begin Glucophage (metformin) or other similar drugs. The newer medications that do not interfere with weight loss are safer than the older oral medications diabetics used in the past. Eventually, as more weight is lost, these patients can have normal glucose levels without any medication. They become nondiabetic, though diabetes can recur should they adopt a more stressful and girth-growing diet.
Gerardo Petito’s case exemplifies the outcome I see with other diabetic patients on a regular basis. Gerardo stated that his main reason for coming to me was that he wanted to control his diabetes better. On his first visit, on January 18, 2000, he was taking three medications: Accupril 20 mg for blood pressure and two medications for diabetes, Glucophage 500 twice daily and fifteen units of insulin twice daily. He had been on insulin for seven years. His fasting glucose in the morning had been running around 175 with this regimen. His blood pressure was 140/85 and he weighed 256 pounds.
After a lengthy discussion, Gerardo agreed to follow my dietary advice. I instructed him to cut back his insulin dose to ten units the evening of the visit and to five units the following morning; after that, he was to take no more insulin.
When Gerardo came back for his second visit two weeks later, he weighed 237, a loss of nineteen pounds in just two weeks. His glucose in the morning was averaging 115, and his blood pressure was down to 125/80. Other than checking his blood test and doing an EKG for the record, I made no changes in his program. He was enjoying the diet and following my advice to the letter.
At Gerardo’s third visit the next month, he weighed 221, a loss of thirty-five pounds in fifty-two days. He had just returned from a cruise, where he continued to follow his healthful diet. His morning glucose was averaging around 80 (completely normal), so I stopped the Glucophage. His blood pressure was 88/70, so I discontinued the Accupril.
Ten months after Gerardo’s first visit, he weighed 190, a loss of sixty-six pounds, his cholesterol was 134, and his blood pressure was 112/76. His hemoglobin A1C, a measure of diabetic control, was 5.3, in the nondiabetic range. He was on no medication.
Rather than controlling his blood pressure and diabetes, he chose to follow my advice and get rid of his medical problems altogether.
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