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PART FOUR Disease Prevention（第1页）

PARTFOURDiseasePrevention

24ThePerilousPathtoDiabetes

FromthestandpointofsavihischaptershouldprovetobethemostsignifieIhaveeverwritten。Here'swhy:Forthepasttwodecades，twoillnesseshaveescalatedsorapidlythattheyaresideredtwinepidemics-obesityandTypeiidiabetes。ImightgosofarastosaytheyareSiamesetwins。

&yaesareactuallytectsofasingleillness，characterizedbyiansulinnotdoingitsjobinyourbody）andhyperinsulinism（excessproduofinsulin）。Theoverlapbetweewoisimpressive。htypertofTypeⅡdiabeticsareobese，iAndihevastmajorityofobesepeoplehavetheidentisthatleadtodiabetes。ThemostgofallisthatthesetwinepidemicsescalatedatexactlythesametimegperfectlywithdramatigesintheAmeridiet。Duriioninwhichthesesreapretedheights，theiaryfatfellfromfortytothirty-threepertoftotalcaloriesed。But，predictably，theintakeofrefinedcarbohydrates，ingbothsugarandflour，wentupbyaeramount。

&esiscausedbyageiontothediseasemdoradietfilledwithrefinedcarbohydratesbihanoveralldephysicalactivity。Letmecallyourattentiohemostimportaen，SaeDisease:TheMasterDiseaseofOurTime。ByBritishSurgeonT。LCleave，MI），thebookexaminednearlyadozenculturesinwhichdiabetes（and。aryheartdiseaseaswell）simplyneverotiltweerthepeopleinthatculturebegantoesignifitsofrefinedcarbohydrates（afurtherdisofCleave'sfindingsappearsinChapter27）。

Cleave'slogiedideepidemicofdiabetes。Uionsresearchershavestatedthatbytheyear2025，ourplaislikelytohavethreehundredmillioits，thegreatestnumberofwhichwillbefromnationsthathadveryfewcasesofdiabetesuntiltheysupplemeheiriswithexcessiveamountsofrefinedfoods。

Iamnotaloneidiabetesisaloomingnatiohcrisis。TheAmeriDiabetesAsso（ADA）hasredefiandardfnosingtheillness，enablingphysidaataage。，whehemoreeffe1997thetersforDiseaseatedthatalmostsixteenmillionadultsiedStateshaddiahetes。Almosteighthuhousandnewcasesarediagnosedyearly。Diredirectoftheillnesswerefiguredatbilliondollarsannuallyin1997!

EvenrowatriskforTypeHdihoughithasgenerallybeeoasadultoes。Aatistudyianythataretlybeingpublishedˉresardthattheineeofmiadolestsbetweentheagesof10and19diagypeHdiabeteshadienfoldfrom1982to1994。$Allevideesthatthisdisturbinatrendisg。Further，Afri-AmeriosandNativeAmerisareatasiguifitlyhigherriskfordiabetesthannon-Hispaisticthatpresumablyhasacloserelationshiptherratesofobesity，althoughtheremaybeageipoaswell。

TheAnswer

&hatthefirstkeytounlogthesolutiontothisepidemicistheaeablishedstificfact;thesedkeyistheimplementatiobasedthisfaoillfartoomahprofessionalswhoaowledgethefa'tputthesolutionintopractice。ThesimplefactisthattheearliestdiageofTypeHdiabetesisassociatedwiththeproduofexcessiveamountsofinsulin。

Insudition，thebodydoesnotallowinsulintodoitsjob（heermiaheglucoselevelinthebloodremaied。Highinsulinlevelscauseadditiohproblems，ingobesity，highbloodpressureandtwomajorcardiacriskfacthtriglydlowlevelsofHDL（goodcholesterol）。Stistsuetounmoredifficultiesattributedtohyperinsulinism，ingpolycysfisyndromeandahratefrombreastdIfearthat，astimegoesowillgrow。

Ipraythatifyougetofthisbook，yougetfixedinyourmiofollowiion:Whatcausesalife-threateionofinsulinlevels?

Theprimarycauseiseatingtoomuchkindofcarbohydrates。Treeeatingexcessiveamountsofproteiblood-sugarlevels;however，whenproteisprimaryfunofbuildingmusclemass，insulinisnotprodud，mostsignifisulinisometabolizeeitherourstoredfatorthefatinthefood>

NowthatyouknowhowtodoAtkins，youknowitby-passestheproblemofexsulinbyswitgthebodytoaprimarilyfat-burabolism。Allthemilliediabeticswhmealshighindtakiionsthatmaystimulateinsulinproduarequiteilyonapathtoself-destruaythinkthattheirpresewillprotectthem，butifthosepeoplearelimitingtheiritingtheirtake，itislikelythatafterawhiletheywillbeeboredorfrustratedbytheirrestrictivedieLTheoreverttoingtoomuchkindofearhohydrate，puttingthembathehigh-insulinpathwaytotrouble。ButindividualswhAtkinstroltheircarbohydrateifoodswithsolittleglyeemicimpactthattheyalizetheirbloodsugaradiabetics。（Thistermappliestothosepeoplewiththediseaseituetrol。）

&ofExperience

Whatadramatimyicalexperiengfooddiarieskeptbypatieimeahatadiabetigahigh-carbohydrate，low-caloriedietwiththeemphasisoionwillusuallyfindthatsuchamealraiseshisorherblood-sugarlevelanaverageof100poiedaboutes。afterthemeal。ThatsamepersonwillasteakorraborabroiledhalfplusatossedgreensaladwithItaliandressingwillraisetheblood-sugarlevelhan20points，ifatall。Ihavelookedextehavenotfoundasiudyshowingthatthehigher-carbohydratedietachievesbettertroloverdiabetestharolledcarbohydratenutritional，approachthatisAtkiainlymyicalexperiesthepositiokinsNutritionaiApproachisthepreferrednutritioforTypeIIdiabetes。

&ypesofDiabetes

AtthispoiakeooclarifythatthetwotypesofdiabetesaretrulysodifferentthattheyshouldbesideredtwoquitedifferehischapteraddressesonlyTypeIIdiabetes。

·TypeIdiabetestypicallyochildhoodorearlyadulthoodaodietaryhabits。Itappearstobeanautoimmunedisorder，inwhiistakenlyattacksthepancreas，largelyortotallydestroyingitscapacitytoprodu。OeofalldiabeticsareTypei。

TypeIIdiabetesiscausedbyageisityforthediseasebihimprhabits。TheresearebyCleave（referredtoonpage314）showedthatgeicallypredisposedradculturesdoypeIIdiabetesuosignifitsofrefinedcarbohydrates。（Ishouldpointout，hoossibletobeatriskforTypeIIdiabetesevenifyoudon'thaveafamilyhistoryoftheillhegreatmajorityofpeoplewhosufferfromTypeHdiabetesactuallyprodusulinthandothosewhodon'tsufferfromtheillhediabeticshaveelevatedblood-sugarlevelsisolasulin，butrathertoiaherefore，insulinandinsulinstimulatingdrugsusuallymakemattersworse。OagesofTypeHdiabetesdoesaperson'sinsulinoutputdee。

Don'tUheDanger

&manyofyouthinkofdiabetesasaratherinnoditionthatrequiresverylittleself-denial。"Oh，well，"youmaysay，"ifmybloodsugarisoutoftrol，Itakeapilltotrolit"Orifyouarefurtheraloodiabetes，youmightevensay，"I'lljusthavetotakeinsulinandwatchthewayIeat。"Don'tflirtwiththatradicorrectviewpoiesinnoditionallfight，butonlyifyoueatappropriately。Ifyoudon't，diabetesbeaheartbreaki'sthelargestsingleewcasesofbliheUes。It'salsotheleadingcauseofkidneyfailure，agiaoowardheartdisease，andsethethateighty-sixthousandAmerisyearlysufferamputations。?Iwon'torehorrors。Instead，heedmymanyyearsoficalexperience:Ifyouareatriskfordiabetes，youhavetomakealifetimepledgetostayawayfromthosefoodsknowntoturnitintoagrimaladies。IkoffewillnessesIwouldsooneravoid。

&esMayBegUponYou

Traditionallyphysishavediagesiheirfiftiesandsixties。Agtoaretsurvey，however，theaverageageofohebabybeionisnow37!

Thecrutisthatwhetheryougetthisillnessinyourthirtiesorinyourfifties，you'vebeenbuildinguptoitoverdecades。TypeIIdiabetesneverspringsforthoutofourWaytowardit，threemealsaday，athousandmealsayear，tenthousandmealsadecade。

TypeIIdiabetesis:

&lydiet-induced。

·almostalletelypreventable。

·almostalwaysvertibletoalatentifcaughtearlyenough。

·virtuallyalrovableandpartiallyreversible，eveheillness。

Itisonlypartiallyreversiblebeceyouhaveit，eatinghabitsmaykeepiturol，butsughabitsecessarilyhealallthedamagethathasalreadyoccurred。

&esisinsidious。Itexistsaspre-diabetes，usuallyforseveraldecades。Itisduriasimpleglucose-tolera）establishitspresehoughtheADAtlyestimatesthatohreeisuheorshehasthe，wefind，bydoingGTTsohsymptomsandorafamilyhistory，approximatelythreepre-diabeticsforeveryoablisheddiabetes。