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PART FOUR Disease Prevention（第3页）

WhatIstheNutritiooDiabetes?

EarlierinthischapterIpoihatIhaveyettoseeastudythatshowedthatahighcarbohydrateleveliismorehelpfultodiabetiisAtkins。ButIdidn'ttellyouwhy。Eventhoughthetrolledcarbohydrateapproachwasthestandarddiabetictherapyuntil1950，theADAabahasiparingitwithatrolledcarbohydrateeatingplanthatfolloroach。

MoststudiesthathavebeenductedweredohdietstoohighincarbohydratestobetwiththetrolledcarbohydrateapproachthatisAtkins。

Hereisasmallsampleofthereseareoverthelastseveyears。Inthemid-199antoparetheeffeonoudietswiththeeffectsofhigh-carbohydratedietsiients。AstudybyDr。AbhimanyuGargattheUyofTexasSouthwesternMeditershoaredwiththehigh-fatdiet，thehigh-carbohydratedietincreasedriskfactorsforheartdisease—intheflyceridelevelsandVLDL（very-lowdensitylipoproteierollevels—bytwenty-fourahreepertrespectively。Thehigh-carbdietalsludiena。Thenumbersarelessimpressivethanweusuallyseeinouricalpracticebethehigh-fatdietstudied，thelevelofcarbohydrateedwasn'tlowenerlipolysis。

IsimilarAustralianstudy，researotedthat"thetlyreendedhigh-earbohydrate，low-fatdiet"produfavorableeffebothglucoselevelsaerollevelsihmildandseverecasesofdiabetes。By1996，researchersattheUyofRoNewYahigh-ketogenic，verylow-caloriedietinparisonwithalow-ketogenic，verylow-caloriedietfordiabetics。Thehigh-ketogeurobesiderablymoreeffegblood-sugarlevels?

Allthesestudiesihesuperiorityofalmostanyformofcarbohydrateensprisinguptofifty-fivepertcarbohydratefoods。InChapter27，I'mgoingtoshowyouiailhowformidabletheevideoihetrolofcarbohydratesisnoto-safebutalsoheart-protective。Thisiscrucialtothediabetesquestion，fordiabetesisamajorriskfactorforheartdisease。I'sfairtosaythatifyouhavediabetes，youmayalsohaveheartdisease。Thedamagedohecardiovascularsystembyhighinsulinlevelsoverdecadesistremendous。bidamagewiththehealthproblemsofbeiandhavinghighbloodpressure，andyouhavewhathasbeeanewbuzzwordinmedidromeX。TurntoChapter27fhdis。

&udyclosesttoevaluatisofatrolledcarbohydrateapproachsuchasAtkinstodiabetestrolwasdoSansumMedicalReseardatioicsubjectswereputoaryregimenthatedoy-fivepertear，hydratefhtweeks。Theyweretheimenthatedfifty-fivepertcarbohydratefhtweeks。Orolledcarbmes'glucosevaluesimproved，theirdiastolicbloodpressurewentdowweight。Whentheywereplathehighcarbmeheindicatorsfordiabetesworseaheimprovemehetrolledcarbmento-red。

·Appropriateresearwhichthelevelofcarbohydrateisinlipolysis，asparedtoahigherintakeOfcarbohydrates，isfinallyihoughpublished）。Wheudiesarepublished，theevidehestaaryapproachtodiabetesshouldbegedwillundoubtedlybepellihatbytrol。lingcarbohydrateirolsgludinsulinishardlysurprising。Whenyouaddtothisthefactthatatrolledcarbohydratenutritionalapproachisoutstaiveatdegtheriskfactorsforheartdisease，themedicalworldoexertonsenseandalittlecetooverturandardicalapproachthathasbeensoharmfultosomanypeopleforsomanydecades。

theCourseofDiabetesBeReversed?

IfyouwanttoknowwhyIamsoSattheparisoingwillproveAtkinstobesoeffective，itisbeouricalpracticewehavetreatedoverfive'thousandTypeIIdiabetics。Ofthosetakinginsulin-stimulatingdrugs（sulfonylurea）wewereabletogetthevastmajorityoffths。AndofType。IIdiabetiginsulihaoceasetheiriions。Hereisohousaiories。

&DrakecreditsdoingAtkinsWithsavingherlifeandherleg。Only47yearsold，shehadbeeicforseventeenyears。WheabusterouroceHulitis，witharedliendioherkhedoctorsatthehospitalwhereshethenworkedasanursewarshemighthavetohavethetoeorthewholelegamputatedifshedidn'tgetherbloodsugardownfastJaherglucoselevelwas29hdespitethefactthatshegaveherselfinsuliwoorthreetimesadayandhadbeenprescribedbothGluclyburide，oralmedisthathelpdiabetes。

&dayshewenttoseehereyedoctorbecauseshehsdbeenhavingheadaches。Hetoldheraboutaionofthisbook。Jalytothemall，boughtthebook，e，putherfootinatubofEpsomsaltsaartedtoread。

&quAtkinsthatdayatlunch，"sherecalls。"ByFridaymyfootwashealed，myheadachesweregoneandmybloodsugarwasdownto190。Idropped16pouhesedweek。Aweeklatermyblood-sugarlevelwastly150andmydoeoffinsulin。WhenIhadlost30pounds，Iwasabletostoptheoralmedisaswell。"

&'shewholestAtkins，herbloodpressurewasafrightening18090。itnowstandsat11lucoselevelof290ishinthene。Hertotalchonedown30pointstoodcholesterol）isup6plyceridossurenowhasfallenby49pouhasgadiabetianrobablyehefinaldecadeofherfifetobeingatitahywomaartedherowertoselpeople-particularlydiabetiutritionanditsroleih。Masareseorsressedbyherexperienceasshe>

&kinsNutritionalApproaotoeffectivetreatmentfordiabetestlyavailableiedStates，butitisalsoautaheepidemiatureoftheillymayrongsuit，butIwouldbeatraitortomankindifIsaidanythingelse。

sfImbalance

DoingAtkinsisacrucialfirststeptodealingwithglusulindisfromunstablebloodsugartofull-blowherearealsomahatassist。Firstais，whiessentialpartoftheghcose-toleraTF）。ThispoundhassuchaprofouadeffegsugarmetabolismthatIsideritessentialforanyonewhht。（bothpiateandpolyniateareeffesfortheassimiliafionofthismineral）hasahelpslowertotalcholesterollevelsandraiseHDL（good）cholesterol。Theeffectivedeofis200to1，000megperday。Theseportaforindividualswithblood-sugarinsulinimbalanadium。Mostresearewithvanadylsulfatehasshowsinbatingbothiandlasulin。Atypicaldeofvanadylsuffateis30to60mgdaily。Vanadylisoheveryfewmayplacestressonthekidneys，soIalwaysreendthatkidiooredwhenusingit。

&hirdmostimportantmineralforblood-sugardisturbanc。'sOthermineralsprobablyadvantageousfordiabetiesium，manganeseandselenium。

Vitamins，especiallyvitamindtheBplexgroup，arealsoimportantfordiabetidshouldbealiberalpartofthenutritioplan。sareeQ，alphalipoidtheessentialfattyacidsGLAandEPA（fishoil）。Tolearheseaients，，youmayrefertoDr。Atkins'Vita-ion。

Asforthepharmaceuticalapproach，Ihaveloheuedusessusulinandtheinsulinmimigsulfoypeoforalaesmedis。SiyofTypeⅡdiabeticsproduu，thssimplymakemattersworse。Itisograduallylowertheiiondosagebeginningthedaycarbohydrateintakeisloweredtopreventabnormallylowbloodsugarsoastoavoidapossiblee。

&lyavailabledrug，hoecialmerit，foritworkstoovereiaotheextentthatit'ssuccessful，lowersbothblood-sugarandihisismefformin，apharmaceuticalthatalsohaspositiveeffectsfhtlossandimproveblood-lipidlevels，Ifyouhavediabetes，youmaywantyourdoctortosiderit。

&ionFirst

Ofcourse，thebestapproachtodiabetesisit。TheAtkinsNutritionalApproachisyourbestihefoodyoueatwhenyoudoAtkinsissurprisiourprimitiveae。Meat，fishandfowl;nuts，seedsaablesandsaladgreensMr。andMrs。wouldhavereostofthosethiainlywouldn'thaveknownwhattomakeofallthoseboxesfilledwithsugar，whiteflourandsaltinthemiddleaislesofthesupermarket—aherdoesyourbewilderedbody。

IfyouhavebeendoingAtkinsforseveralweeks，thesymptomsyouusedtosufferandthatyoureyourBloodSugarSymptomTestshouldbealleviatingordisappearingnow。Yourbloodsugarisnandsoisyourinsulinlevel。Unlessyoucametothisnutritionalapproachtoolate，youhaveescapeddiabetes，ahatdirehasbeenhalted。Inmyopinion，you'vebeendarnlucky。

GrimGly

Iwentyyears，scehasdiscoveredthatelevatedblood-sugarlevelsappeartoplayasignifitroleintheagiself。

Naturally，diabetesprovokedtheseiions;itisstartlinghowthisdisease'seffeansaheeffectsofagingataedpace。

Whyshouldhighbletheskiheeyes，thejointsaeries?

Partoftheaolieinglucose'spropensity，asitfloatsaroundinyourbloodstream，toattachitselftoproteins。Thatattatiscalledgly（ly）。StistsatRockefellerUyandotherreseartershavedemoheprocessleadstoIrreversibleksbetroteinmolecules。kingsignifitributestothestiffeningandlossofelastidinagingtissues。

Ifyouwanttokheryourbleed，askyourdoctortlobinAlc'（glycosylatedhemoglobin）laboratorybloodtestforyou。Itmeasuresylutroloverasixtoeight-weekperiod。

Dr。Ampiohisfield，gavethenew'proteinstruthischemicalanappropriatename:AdvancedGlyEnd-prEs。，theflexibleectivetissuethatholdsyourskeletoher，isoproteied。As'sflexibilityisdestrsandyansstiffen。Andyourarteriesalsotakeamajorhit，whisiioesadisease。AGEsMt。achthemselvestoLDL（bad）cholesterol，andtheseLDLmolebeoreoxidated，gseveredamagetoanyarterialsurfacetowhichtheybeeattached。

&rulyamaintribut;therefore，IadviseyoutokeepyourbloodsugarweUdowninthenesothoseglygsugarmole'tgainiafootholdonyourbody。