Eat to Live 163
cose in the morning was averaging 115, and his blood pressure was
down to 125/80. Other than checking his blood test and doing an
EKG for the record, I made no changes in his program. He was en-
joying the diet and following my advice to the letter.
At Gerardo's third visit the next month, he weighed 221, a loss of
thirty-five pounds in fifty-two days. He had just returned from a
cruise, where he continued to follow his healthful diet. His morning
glucose was averaging around 80 (completely normal), so I stopped
the Glucophage. His blood pressure was 88/70, so I discontinued the
Accupril, his blood pressure medication.
Ten months after Gerardo's first visit, he weighed 190, a loss of
sixty-six pounds, his cholesterol was 134, his blood pressure 112/76.
His hemoglobin A1C, a measure of diabetic control, was 5.3, in the
nondiabetic range. He was on no medication.
Rather than controlling his blood pressure and diabetes, he chose
to follow my advice and gel rid of his medical problems altogether.
Advice for the Diabetic Patient
The general advice given in this book is sufficient for most diabetics.
The most important goal is how much weight you lose, not whether
your glucose is a little higher or lower in the short run. Follow my
guidelines for aggressive weight loss in the next chapter. If you
follow my program to the letter, it will not be necessary to make
your diet complicated by following diabetic food exchanges and
counting calories. Most people do not have to measure portions,
either. Your goals are the same as the patient with coronary artery
disease: get thin and aggressively treat your risk factors. With time,
your body will normalize your numbers. Keep the following guidelines
in mind:
- Refined starches such as white bread and pasta are particularly
harmful; avoid them completely. - Do not consume any fruit juice or dried fruits. Avoid all
sweets, except for fresh fruit in reasonable quantities. Two or
three fruits for breakfast is fine, and one fruit after lunch and
dinner is ideal. The best fruits are those with less sugar —
grapefruit, oranges, kiwis, strawberries and other berries, mel-
ons, green apples. - Avoid all oil. Raw nuts are permitted, but only one ounce or
less.