158 Joel Fuhrman, M.D.
many patients as possible each day. Your physician is likely doing just
as poorly as you are and eating just as unhealthfully or worse. Aft
reading this book, you could improve his health and reduce his ri
of premature death more than he could help yours. Even whe
physicians offer their fullest time and effort, their recommendations
are invariably too mild to have a significant benefit.
Drs. Randall S. Stafford and David Blumenthal, of Massachusetts
General Hospital in Boston, reviewed the records of more than
30,000 office visits to 1,521 U.S. physicians of various specialties an
found that doctors measured patients' blood pressure during 50 per
cent of the visits. However, doctors tested their patients' cholestero
levels only 4.6 percent of the time. Physicians offered patients advi
on how to lose weight in 5.8 percent of the visits, and suggestions o
how smokers could quit 3 percent of the time. On average, docto
gave patients advice on dietary and other changes that can hel~
lower cholesterol in 4.3 percent of the visits, and advice on exercise
in 11.5 percent of the visits. When records were reviewed in those
who had cardiovascular disease, the typical (almost worthless) di
etary counseling and exercise was usually never even mentioned.'
Obviously, we have a long way to go.
Diabetes - The Consequence of Obesity
One in twenty people has diabetes in this country, more than 16 mil-
lion Americans. As our population grows fatter, this figure is climb-
ing. Diabetes is a nutritionally related disease — one that is both
preventable and reversible (in the case of Type II diabetes) through
nutritional methods.
Diabetes can take a severe toll — causing heart attacks and strokes,
as well as other serious complications. More than 70 percent of
adults with Type II diabetes die of heart attacks and strokes. The sta-
tistics are even more frustrating when you watch people gain weight,
become even more diabetic, and develop attendant complications, all
while under the care of their physicians.
As our country's weight has risen, diabetes has increased accordingly. The
worldwide explosion in diabetes parallels the increase in body weight.