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Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars

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  • Create Date：2021-09-28 06:55:20
  • Update Date：2025-09-06
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  • Author：Richard K. Bernstein
  • ISBN：0316182699
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Summary

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， and 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。

Now in its fourth edition， the book presents up-to-the-minute information on insulin resistance， blood-testing devices， measuring blood sugar， new types of insulin， gastroparesis and other issues， as well as updated diet guidelines。 DR。 BERNSTEIN'S DIABETES SOLUTION is the one book every diabetic must own。

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Reviews

James ，

The most comprehensive book that I have read on treating diabetes。 He was ahead of his time by recommending a low carb diet as a solution to combat the diabetes epidemic。

Monica Willyard Moen ，

This is an excellent book that is full of actionable information and ideas for people with diabetes of any type。 I wish doctors would give newly diagnosed people this book when telling them that they will be living with diabetes。 This book， unlike many others in the genre， is written by a Doctor Who has also lived with diabetes for over 70 years。 He understands firsthand what it is like to manage all of the spinning plates that we juggle when living with diabetes。 I sincerely believe that if I h This is an excellent book that is full of actionable information and ideas for people with diabetes of any type。 I wish doctors would give newly diagnosed people this book when telling them that they will be living with diabetes。 This book， unlike many others in the genre， is written by a Doctor Who has also lived with diabetes for over 70 years。 He understands firsthand what it is like to manage all of the spinning plates that we juggle when living with diabetes。 I sincerely believe that if I had been given this book as a young woman， I would not be in the shape I am in today。 There were things my parents didn’t know when I was growing up with diabetes， and I did a terrible job of managing it as a young person because of my ignorance。 Now that I have implemented many of the things in this book， I have blood sugars that are nearly normal， and I have test values that are just barely over the line of being diabetic。 I never thought this was possible。 Though dr。 Bernstein does not recommend using a pump， I already had started using one when I read the book。 I was able to use the information in the book to achieve very good blood sugar control with my pump， and I am grateful for the recipes and the meal suggestions that he has shared in this book。， 。。。more

Dennis Ashendorf ，

During COVID， the number one preventative was "GET INTO SHAPE" or at the very least "DROP THE WEIGHT。"I left 20 lbs behind， probably should drop another 30+。 It helped。Still， I'm nervous about Diabetes。 I have to assume it'll come to bite me。 You may be in the same boat。------------------------Bernstein's book started the "modern， informed， non-official bureaucratic medicine" movement。 Born in 1934 with Type 1 Diabetes， he became an engineer and then went to medical school in his 40s。 He's smart During COVID， the number one preventative was "GET INTO SHAPE" or at the very least "DROP THE WEIGHT。"I left 20 lbs behind， probably should drop another 30+。 It helped。Still， I'm nervous about Diabetes。 I have to assume it'll come to bite me。 You may be in the same boat。------------------------Bernstein's book started the "modern， informed， non-official bureaucratic medicine" movement。 Born in 1934 with Type 1 Diabetes， he became an engineer and then went to medical school in his 40s。 He's smarter and more knowledgeable than anyone else on this topic。 It's that simple。 Buy this book。 Keep it near。In short， monitor your blood sugar frequently， many times per day。 See what raises your blood sugar level。 Respond appropriately。 Eat protein， skip carbs as much as possible。Obviously， lose fat， but use anaerobic workouts if possible。 Hard workouts help your body more than walking does。 This isn't normal advice but buy some dumbbells。 The doctor discusses suppliers for every little thing and gives his preferences for alternative sweeteners， devices， recipes， etc。 He even discusses self-hypnosis。The book starts slowly， testimonials， etc， but his credibility begins to haunt you。 He knows his stuff， every interaction， concern， etc。 In the appendix， he even concerns himself with your feet。It may be better to get a hard copy vs Kindle because， for quick reference or topic， paper is easier， but get this book。 You know diabetics。 Official advice may not help them。 。。。more

Sean Byrnes ，

That was a slog to read through。 Ended up skipping some very uninteresting sections。 Thought the message of the book was good but not very engaging， even as a diabetic。 Many chapters I thought were unneeded， however this is a “bible” for some so it must include everything including sections like the toolkit。 Thought the message of eliminating carbs is a great message as I completely agree however the book is outdated in the sense it does not talk about insulin pumps or CGMs other than stating th That was a slog to read through。 Ended up skipping some very uninteresting sections。 Thought the message of the book was good but not very engaging， even as a diabetic。 Many chapters I thought were unneeded， however this is a “bible” for some so it must include everything including sections like the toolkit。 Thought the message of eliminating carbs is a great message as I completely agree however the book is outdated in the sense it does not talk about insulin pumps or CGMs other than stating that that technology is not good enough yet。 Appendix A， I feel is very important and should’ve been in the main section of the book。 He doesn’t talk about exercise nearly enough， when he does he mentions essentially walking。 I workout very frequently and have had poor results on a low carb diet， I find I need about 100-120g per day to stay at a good weight and good BG levels。 My pursuit of lower BG with less carbs and same workout have been scary。 。。。more

Laurisa Reyes ，

Very informative book， but this edition is outdated。 Is there a more recent edition？ I don't know。 Very informative book， but this edition is outdated。 Is there a more recent edition？ I don't know。 。。。more

Jenny ，

Love this book！ I’ve had diabetes for many years， so there were some sections I skipped because they are written more for newbies。 And in some cases I think the book is a bit dated （for example， how to inject yourself with needles vs more modern pen needles）。 But I loved the sections on diet and how carbs impact your body and your blood sugar。I was able to implement the meal plan and see a huge difference in my blood sugar in about a week。 Not only did I not have spikes in my blood sugar but I a Love this book！ I’ve had diabetes for many years， so there were some sections I skipped because they are written more for newbies。 And in some cases I think the book is a bit dated （for example， how to inject yourself with needles vs more modern pen needles）。 But I loved the sections on diet and how carbs impact your body and your blood sugar。I was able to implement the meal plan and see a huge difference in my blood sugar in about a week。 Not only did I not have spikes in my blood sugar but I also didn’t have any instances of low blood sugar。 。。。more

Tovli Toda ，

As a self-diagnosed pre-diabetes there are sections I skimmed through， but most sections I invested to understand how I could utilize the guidance in my life。 The most interesting statement was his determination of “harm” beginning at a BG of 155。 I have chosen a 1 hour target limit of 140， and test after most dinners now， with a daily carb goal of less than 100 grams。 Another take-away: you have to figure out what works for you and what doesn’t。

Gulka B ，

I started reading this book to help my dad。 I learned a lot and consider it to be the ultimate book that everyone with diabetes， or anyone who has a close one with diabetes should read。 The best practical book， with insights on how human body works， with tips and solutions for every little problem a diabetic might face。

Jessica ，

Very restrictive dietary guidelines。 My doctor recommended a low-carb or keto diet。 My dietician recommended reading this book to support the diet my doctor recommended。 I found the book overwhelming since I was newly diagnosed and just had my first visit with a dietician when I bought and started reading the book。 This a better read for someone who has already tried everything else。

Matthew Hanna ，

Excellent book for mastering diabetes。 Literally everything one needs to know plus excellent help in decreasing insulin needs。

Venicio L。 Dayrit ，

It works， if you read and follow the instruction in the program。This is a must book to read，whether you are type 1 or type 2 diabetic。 I had the previous edition of this book 2007 I think it was。 I did not used it then to try to control my blood sugar although I read it and learned a lot from it。 But now after 13 years I realized I really need to re-read this book again after my doctor told me he's gonna put me in insulin after I had an hbgaic of 7。9， I' m type 2 diabetic by the way。I could not It works， if you read and follow the instruction in the program。This is a must book to read，whether you are type 1 or type 2 diabetic。 I had the previous edition of this book 2007 I think it was。 I did not used it then to try to control my blood sugar although I read it and learned a lot from it。 But now after 13 years I realized I really need to re-read this book again after my doctor told me he's gonna put me in insulin after I had an hbgaic of 7。9， I' m type 2 diabetic by the way。I could not find the book on my bookshelf anymore so I went ahead and order the kindle version this time from Amazon it's a few dollars cheaper too。 I follow Dr's B program and on my first day I checked my bgs before and after 2 hrs reading and all of them were around 80's and 90's except one reading with a 104 it's because I ate an snack when I was feeling i'm about to have an hypoglycemia。 Overall I felt great and plan to continue following this program。 Thanks to Dr R Bernstein the founder of LCHP diet for type 1 and 2 diabetics。 。。。more

Savvy ，

Great straight forward info。。。 Too strict for me but utilize his guidelines without being pedantic。 Life without fruit isn't for me！ Great straight forward info。。。 Too strict for me but utilize his guidelines without being pedantic。 Life without fruit isn't for me！ 。。。more

Linda ，

Excellent read。 A must have addition to libraries for all diabetics or anyone caring for a diabetic。

Marie ，

This is an excellent book written from the point of view of someone who knows his topic as both a doctor and a patient。 The latter is super important here， because while I don't typically believe that a doctor must have a particular disease in order to treat it， I don't think anyone can fully understand the reality of T1 diabetes without dealing with it 24/7， i。e。 every minute of every day。Dr。 Bernstein's approach is extreme to be sure， but he's not in it for the usual outcomes。 He wants diabeti This is an excellent book written from the point of view of someone who knows his topic as both a doctor and a patient。 The latter is super important here， because while I don't typically believe that a doctor must have a particular disease in order to treat it， I don't think anyone can fully understand the reality of T1 diabetes without dealing with it 24/7， i。e。 every minute of every day。Dr。 Bernstein's approach is extreme to be sure， but he's not in it for the usual outcomes。 He wants diabetics to experience the same level of health as non-diabetics and he does not accept that diabetic complications are inevitable。 Whether a reader decides to follow the program to the letter， or not， they will definitely learn a lot that they won't get from their typical diabetes educator or doctor。 。。。more

Dick Heimbold ，

The Diabetes Solution by Dr。 Richard K。 Bernstein is an eye-opener for those trying to make sense of diabetes， what it is， what it does them， and what to do to live with its many pernicious effects。 It’s a big book that chronicles the doctor’s own experience as a diabetic， how he developed new blood sugar control methods， his ongoing skirmishes with the American Diabetes Association and his disdain for the “Food Pyramid” thinking of recent years that promoted use of excessive carbohydrates in Am The Diabetes Solution by Dr。 Richard K。 Bernstein is an eye-opener for those trying to make sense of diabetes， what it is， what it does them， and what to do to live with its many pernicious effects。 It’s a big book that chronicles the doctor’s own experience as a diabetic， how he developed new blood sugar control methods， his ongoing skirmishes with the American Diabetes Association and his disdain for the “Food Pyramid” thinking of recent years that promoted use of excessive carbohydrates in American diets。Dr。 Bernstein started out as an engineer and a diabetic。 He knew the problem and took an analytical approach to developing a methodology for controlling this disease and its many related health impacts。 Essentially he uses diet， medication and/insulin to decrease a patients blood glucose to a non-diabetic level。 Once there the patient makes use of frequent testing of blood glucose to determine if his/her level needs remediation in real time with medication/insulin to keep swings in blood sugar within a range that is “normal” instead of the big swings up， that cause bodily damage， or down， that cause sudden physical distress or collapse。This book is encyclopedic in coverage of the many aspects of diabetes， especially Type 1。 Dr。 Bernstein backs up his approaches to the many treatment areas of diabetes with data， either collected by him personally or from technical literature。 I like this data-driven approach， but found his coverage of Type 2 was not as thorough。Dr。 Bernstein’s diet is draconian: just 30 grams of carbs a day for everyone regardless of size， weight and age。 It relies on eating more protein and fat to make up for getting rid of noodles， rice， bread， pastries， fruit， starchy vegetables， fruits， etc。 from our daily meals。 Fifty pages of recipes are included。 He allows dieters to choose for themselves the amount of protein they need to suit their weight goals， and every day they must use about the same amount of food for each of the three meals。 The original edition of this book was written in 1997; others followed in 2003， 2007， and 2011。 It requires one to keep daily blood glucose records on a paper form in the book that can be purchased by calling the phone number provided。 BTW Dr。 Bernstein also sells a diet book on Amazon。I think Dr。 Bernstein’s approach to controlling diet could be strengthened by use of a computer program specifically tailored for diabetic users。 Based on my experience as a Type 2 dieting to meet a carbs goal—while trying to lose weight， I believe my use of a computer program made my diet control and tracking a lot easier。 Additionally I could trend and average data conveniently。 In general I felt this book is behind the times when it comes to recent advances in continuous glucose monitoring and digital information processing。At the end of each chapter is a reference to a website and monthly phone call during which Dr。 Bernstein answers questions。 I signed up on Dec 24th， submitted a question and received an email that there would be a teleconference on Dec 25 and one hour of questions answered on Dec 26。 I listened in and did not hear my question asked。 Many if not most questions were answered by being told by Dr。 Bernstein to read his book。 I believe this book makes important contributions to diabetes understanding and control， but its technology needs updating。 。。。more

Ouafae Elhankari ，

Now I can answer the question that my friends always ask me : what is the book that changed your life？ Well it's Dr Richard Bernstein book 😍📖。。For those who saw my videos， they already know who Richard Bernstein is。 He had diabetes in 1946 when he was 12 years old and he's still alive and active and healthy and kicking ass 😍。。。。And how is that possible？ Well as he mentioned in his book， he follows the law of small numbers : if you eat just few carbohydrates， you will require little doses of insu Now I can answer the question that my friends always ask me : what is the book that changed your life？ Well it's Dr Richard Bernstein book 😍📖。。For those who saw my videos， they already know who Richard Bernstein is。 He had diabetes in 1946 when he was 12 years old and he's still alive and active and healthy and kicking ass 😍。。。。And how is that possible？ Well as he mentioned in his book， he follows the law of small numbers : if you eat just few carbohydrates， you will require little doses of insulin and then you will make very little mistakes。。。。This book is the Bible for diabetic people， I followed the protocol detailed in this book for 6 months now， my last a1c is 5。5， a result that I was never able to achieve following my doctor instructions。。。。You will find in this book what tests to do， what complications you have to look for， what kind of insulin to use and how to use it， how to avoid hypoglycemia， to manage The dawn phenomenon， how to deal with gastroparesie， what to do when you have dehydration and infection， how to rake care of your feet。。。 How to live a normal active life following the low carb diet。。。。I think a review can't be enough， so much informations and interesting things。 All I can say is that this book saved my life， like he saved the life of many of people around the world。 I'm so grateful that Richard Bernstein exists。 I know how it is hard to be controversial in a world that follow guidelines without questioning it。。。I hope this book get translated， every diabetic person need to read it and try to follow the diet and see for himself the results。 。。。more

Helen Mary Labao Barrameda ，

Incredibly helpful and detailed！

John O'Malley ，

I wished I read this seven years ago This book is clear and exhaustive。 You gain knowledge about the disease and its detriments。 You glean wisdom fro a proven expert。 If someone in your life has diabetes， get this book。 Buy a copy for your physician。

Julie Charles ，

Helpful information for everyone。

Serge Beauchemin ，

Je crois que TOUS les diabétiques devraient lire cet ouvrage。 dr。 Bernstein explique très bien ce qu’est le diabète， ses conséquences et surtout comment les éviter en modifiant son alimentation et en ajoutant de la musculation a des activités physiques。 Là où le monsieur est crédible plus que quiconque c’est qui est lui même diabétique de Type 1 depuis son enfance et qu’il est rendu à 84 ans et toujours en forme ！ Il travaille encore ！！！ C’est un monsieur qui prêche par l’exemple。 Ce n’est pas u Je crois que TOUS les diabétiques devraient lire cet ouvrage。 dr。 Bernstein explique très bien ce qu’est le diabète， ses conséquences et surtout comment les éviter en modifiant son alimentation et en ajoutant de la musculation a des activités physiques。 Là où le monsieur est crédible plus que quiconque c’est qui est lui même diabétique de Type 1 depuis son enfance et qu’il est rendu à 84 ans et toujours en forme ！ Il travaille encore ！！！ C’est un monsieur qui prêche par l’exemple。 Ce n’est pas un théoricien， c’est un practicien ！ Il pratique ce qu’il prêche。 UN MUST aussi pour tous ceux qui veulent comprendre les conséquences d’une alimentation riche en glucides sur la santé。 Bref， j’ai adoré ce livre。 。。。more

Nina ，

It's very informative but it hasn't been revised since 2011。 It's very informative but it hasn't been revised since 2011。 。。。more

Peter Steele ，

Best book I've read on the subject。 gave me a thorough understanding of the subject as well as how to turn my like around to deal with it。 Highly recommended！ Best book I've read on the subject。 gave me a thorough understanding of the subject as well as how to turn my like around to deal with it。 Highly recommended！ 。。。more

Patrick ，

great book！ Dr。 Bernstein gives some great advice that the rest of the medical community is finally catching up to。 If you're a diabetic Bernstein is a great model on how to not only get your blood sugars under control but normal！ great book！ Dr。 Bernstein gives some great advice that the rest of the medical community is finally catching up to。 If you're a diabetic Bernstein is a great model on how to not only get your blood sugars under control but normal！ 。。。more

Aaron Neinstein ，

Some useful tips in here， but also a lot of advice that has no scientific backing based entirely on Dr。 Bernstein's own anecdotes。 Someone with diabetes could have a lot to learn in this book， but would have to know which advice is sound vs which is not。 Dr。 Bernstein is correct about the over-use of carbs and insulin in the traditional treatment of diabetes。 Some useful tips in here， but also a lot of advice that has no scientific backing based entirely on Dr。 Bernstein's own anecdotes。 Someone with diabetes could have a lot to learn in this book， but would have to know which advice is sound vs which is not。 Dr。 Bernstein is correct about the over-use of carbs and insulin in the traditional treatment of diabetes。 。。。more

Larissa ，

I wish someone had given me this book 20+ years ago。 It's outdated in some ways but still a key read for anyone with T1D or T2D。 I wish someone had given me this book 20+ years ago。 It's outdated in some ways but still a key read for anyone with T1D or T2D。 。。。more

Maya ，

I was skeptical at first， but this really is a life changing book that all diabetics （type 1 and 2） should read。 I have been a type 1 diabetic for about 20 years now。 I do not agree with everything that Dr。 Bernstein says， but I have absolutely no doubt that his Law of Small Numbers （eating very few carbohydrates） is the best chance any diabetic has at normal blood glucose levels and life （not a typo， I do mean life itself）。Dr。 Bernstein is a type 1 diabetic himself。 His method is easily summed I was skeptical at first， but this really is a life changing book that all diabetics （type 1 and 2） should read。 I have been a type 1 diabetic for about 20 years now。 I do not agree with everything that Dr。 Bernstein says， but I have absolutely no doubt that his Law of Small Numbers （eating very few carbohydrates） is the best chance any diabetic has at normal blood glucose levels and life （not a typo， I do mean life itself）。Dr。 Bernstein is a type 1 diabetic himself。 His method is easily summed up: eat very little carbohydrates （6g for breakfast， 12g for lunch and dinner each） with the amount of protein that works for you， avoid snacking， and keep the carbohydrate and protein amounts consistent for each meal from day to day。 The book goes into much detail on how to achieve this and much more， such as exercise， weight loss， illness， complications， and tests for health assessment。 There are also appendices that provide scientific detail about the effects of a high fat and protein diet on the body， which I really appreciated。There are a few things I did not agree with。 First and foremost， this quote from the book about setting insulin rates: "it shouldn't be necessary for you to perform any of the above calculations on your own。 This is the job of your health care professional。" I feel this statement discourages people from taking an active part in their care。 He recommends visiting your endocrinologist every two months， and his advocation for consistent meals does eliminate a lot of variation， but not all。 Therefore it is important to educate patients and encourage them to change their rates in a safe manner if they do not work， and do not wait two months for their doctor to do it！ He describes most things in extensive detail， yet he only dedicated half a page to nutritional ketosis， and then in a far later chapter described DKA， but never really put the two side by side to compare。 I found this very surprising considering the low carb nature of the proposed diet which despite the high protein might very well be ketogenic。 And since he describes everything else in such detail， I consider this to be a major omission。I was disappointed at his disapproval of modern diabetes technology， such as insulin pumps。 Granted， the edition I read is now about 8 years old， but still。 I don't believe he provided the reader with an objective argument against such devices。 When talking about insulin pumps， he offered 3 pros and 12 cons。 Furthermore， despite talking about a single patient needing to use different types of insulin in different situations with injections， and diluting insulin because of the difficulty of accurate dosing with very small amounts of insulin， the fact that pumps are capable of such accurate dosing didn't even make it into the pro list。As for the writing， I think it was quite repetitive， but perhaps that was intentional。 The style of constant referrals to things you will read on future pages really bothered me。 But these are quite minor points compared to the earth shattering thesis of the book: diabetics can have consistent normal blood glucose levels！ 。。。more

Prabs ，

Awesome book from basics to high level of knowledge。Very good for Type 1 Diabetes patients。Study is very different and helpful。

Kari ，

Good foundation of information， but his a） dislike of insulin pumps and b） what I see as his fear of what he calls 'most-rapid-acting' insulins （Humalog， Novolog， Apidra （and now Fiasp）） along with his c） heavy promotion of NPH and Regular insulins and d）seeming fear of ever correcting a high blood sugar less than 5 hours after a previous insulin dose （when insulin pumps and current phone app calculators CAN prevent stacking） strike me as outdated thinking that hasn't kept up with best practice Good foundation of information， but his a） dislike of insulin pumps and b） what I see as his fear of what he calls 'most-rapid-acting' insulins （Humalog， Novolog， Apidra （and now Fiasp）） along with his c） heavy promotion of NPH and Regular insulins and d）seeming fear of ever correcting a high blood sugar less than 5 hours after a previous insulin dose （when insulin pumps and current phone app calculators CAN prevent stacking） strike me as outdated thinking that hasn't kept up with best practice using current technology。With that said， his idea about the 'law of small numbers' is something I can agree with and appreciate。 。。。more

Sarah Albunyan ，

In my humble opinion。。its unpractical guide for diabetes management。 The diet might work for a period of time。。but definitely not with a chronic disease like diabetes！ Regardless of the above， the author has put so much effort in the care of diabetes， but his treatment method is what I disagree with。 I do believe that constant normal blood sugar cant be maintained if the target is similar to that of non-diabetic。 Carbs are essential to our health （may be the glucose is not essential but other be In my humble opinion。。its unpractical guide for diabetes management。 The diet might work for a period of time。。but definitely not with a chronic disease like diabetes！ Regardless of the above， the author has put so much effort in the care of diabetes， but his treatment method is what I disagree with。 I do believe that constant normal blood sugar cant be maintained if the target is similar to that of non-diabetic。 Carbs are essential to our health （may be the glucose is not essential but other benefits that the carb provides are essential）， and Insulin can cover their spiking actions in the blood by introducing it before the mealtime in an appropriate period of time based on the amount and type of macros nutrient in the meal。 Dr。Bernstein method is definitely true。 But its not the only way 。。other methods could work too。 。。。more

Barbara Dunlop ，

This is the best book for understanding how to use insulin。

Reference

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