Dr. Bernstein (Richard K. Bernstein MD) is a physician and an advocate for a low-carbohydrate diabetes diet to help achieve normal blood sugars for diabetics. Bernstein himself has type 1 diabetes since being 12 years old (he is now in his 80’s).
Bernstein’s program for treating diabetes is highly regarded amongst his patients and achieves great blood sugar control, which reduces some or all of the complications associated with diabetes. This was confirmed by a study published in Pediatrics that Bernstein co-authored. “Management of Type 1 Diabetes With a Very Low–Carbohydrate Diet”:
Lennerz, B. S., Barton, A., Bernstein, R. K., Dikeman, R. D., Diulus, C., Hallberg, S., … & Ludwig, D. S. (2018). Management of Type 1 Diabetes With a Very Low–Carbohydrate Diet. Pediatrics, e20173349.
OBJECTIVES: To evaluate glycemic control among children and adults with type 1 diabetes mellitus (T1DM) who consume a very low–carbohydrate diet (VLCD).
METHODS: We conducted an online survey of an international social media group for people with T1DM who follow a VLCD. Respondents included adults and parents of children with T1DM. We assessed current hemoglobin A1c (HbA1c) (primary measure), change in HbA1c after the self-reported beginning of the VLCD, total daily insulin dose, and adverse events. We obtained confirmatory data from diabetes care providers and medical records.
RESULTS: Of 316 respondents, 131 (42%) were parents of children with T1DM, and 57% were of female sex. Suggestive evidence of T1DM (based on a 3-tier scoring system in which researchers took into consideration age and weight at diagnosis, pancreatic autoimmunity, insulin requirement, and clinical presentation) was obtained for 273 (86%) respondents. The mean age at diagnosis was 16 ± 14 years, the duration of diabetes was 11 ± 13 years, and the time following a VLCD was 2.2 ± 3.9 years. Participants had a mean daily carbohydrate intake of 36 ± 15 g. Reported mean HbA1c was 5.67% ± 0.66%. Only 7 (2%) respondents reported diabetes-related hospitalizations in the past year, including 4 (1%) for ketoacidosis and 2 (1%) for hypoglycemia.
CONCLUSIONS: Exceptional glycemic control of T1DM with low rates of adverse events was reported by a community of children and adults who consume a VLCD. The generalizability of these findings requires further studies, including high-quality randomized controlled trials.
Dr. Bernstein’s Diabetes Solution
Originally published in 1997, DR. BERNSTEIN’S DIABETES SOLUTION is a unique resource that:
- Covers both adult- and childhood-onset diabetes.
- Explains step-by-step how to normalize blood sugar levels and prevent or reverse complications.
- Offers detailed guidelines for establishing a treatment plan.
Readers will find fifty gourmet recipes, in addition to a comprehensive discussion of diet, obesity, and new drugs to curb carbohydrate craving and overeating.
- Diabetes: the basics.
- Tests: abaseline measure of your disease and risk profile.
- Your diabtic tool kit: supplies you will need and where to get them.
- How and when measure blood sugar.
- Recording blood sugar data: using the Glucograf II data sheet.
- Strange biology: phenomena peculiar to diabetes that can affect blood sugar.
- The laws of small numbers.
- Establishing a treatment plan: the basic treatment plans and how we structure them.
- The basic food groups, or much of what you have been taught about diet is probably wrong.
- Diet guidelines: basic treatment for all diabetics.
- Creating a customized meal plan.
- Weight loss – if you are overweight.
- Using exercise to enhance insulin sensitivity.
- Oral hypoglycemic agets.
- Insulin: the basics of self-injection.
- Important information about various insulins.
- Simple insulin regimens.
- Intensive insulin regimens.
- How to prevent and correct low blood sugars.
- How to cope with dehydrating illness.
- Delayed stomach-Emptying: gastroparesis.
- Routine follow-up visits to your physician.
- What you can expect from virtuall normal blood sugars.
The Diabetes Diet
This low-carb diet book is geared towards diabetics. An engineer by training, Bernstein pioneered blood glucose self-monitoring and the tight control of blood sugar that is now accepted as the standard treatment of diabetes.
Part One: About the Diabetes Diet
- Why a low-carb diet is the only answer for diabetics and a very good answer for everyone else.
- Some basic science underlying the diabetes diet.
- essential guidelines for the diabetes diet.
- So what’s low-carb?
- Customizing the diet.
- Weight loss – if you are overweight.
Part Two: Low-Carbohydrate Recipes
112 Recipes for low-carb meals:
- Breakfast dishes.
- Lunch dishes.
- Beef, lamb and veal.
- Sauces, dips and dressings.