My daughter has diabetes for 6 years. She is 25 years old. She takes
insulin four times daily. She wants to start the optimal diet. I follow
the diet but both me and my husband is worried about her using the
optimal diet. How technically we should carry out her transition to
the diet? What about insulin? I would like to ask you for the information
how to start the diet in the case of diabetes type I that it cannot
harm her. I have found out that diabetes type I is curable but one
has to know a lot. Together with my daughter we know considerably
but not enough. Please may I ask for more information on the subject
o diabetes type I.
A.H. Dabrowa Górnicza
diabetes type I can be always cured, but one has to know quite a
lot. The best way to start is to stay in hospital or sanatorium
for 2 - 3 weeks. Especially, small children should be treated in
hospitals. When the diabetic person or the parents of a sick child
come to me, I have difficult choice, what to do. I know that diabetes
is curable, but I also know what a danger can be when the patient
make mistake in nutrition or in taking right doses of insulin. I
know that diabetes make life difficult for the sick person, costs
a lot the patient and society and in consequences lead to the disability.
is a casual treatment of diabetes type I and type II. In poor countries,
where people feed themselves a "pasture-origin" diet,
occurs mainly diabetes type I which is called adolescent diabetes
or insulin dependent diabetes mellitus (IDDM). When the nation start
walking slowly from "pasture-origin" diet toward "trough-origin"
diet, diabetes type I decreases and diabetes type II increases.
The ratio of patients with diabetes type I to the patients with
diabetes type II reflects the stage on which the country is on.
International Institute of Diabetology in Melbourne Australia assumes
that the number of diabetic patients is more than 100 million, from
which 11.5 million is type I. Prognoses assess, that in 2010 year
the number of diabetics will increase up to 215 million.
To recommend the optimal nutrition for the diabetic patients it
has to be taken into account that it is difficult to the sick person
to understand the principle of optimal nutrition, and they have
difficulties with the practical adoption of it. Some of them exclude
from the diet and they are surprised to have ketone bodies in the
urine and in consequence they end in hospitals because of the ketoacidosis.
In such cases the hospital doctors have the argument that optimal
nutrition is harmful. If it happened, that the doctor cured a patient
by conventional method even one from 100 hundred, the TV and other
media would inform about miracles. When miracles are common there
are no miracles. When 90% of diabetic patients are cured there are
no miracles. I have always written that nearly all diabetic patients
type I and type II can be cured and the disease never comes back,
if the optimal nutrition model is carrying on.
Diabetes type I is a type of auto-aggression disease mainly caused
by carbohydrates. The more carbohydrates in the diet, the more insulin
had to be produced in the pancreas. The body has a few methods to
protect itself against the sugar, but the most important is the
production of antibodies against of beta cells of the Langerhans
islets located in the pancreas and destruction of beta cells that
they cannot produce insulin.
All patients suffering from diabetes type I have antibodies which
All beta cells are very seldom destroyed in human body. When the
amount of beta cells and possibility of insulin production drops,
the body stops further destroying them. Insulin is needed in the
body not only for the burning or processing of carbohydrates but
also for variety of metabolic processes. When the disease is in
a developing stage, the body stops to destroy the beta cells, or
slow down the destruction pace. Just as the disease is developing,
the antibody occurs in 40 - 65% of the diabetic patients, the amount
of destroyed beta cells is up to 60 - 85% or even more. From a simple
calculation is evident that if amount of beta cells drops to 10%
and reduction of the consumption of carbohydrates by 90% or more,
produced insulin by the body should be sufficient, and diabetes
A dose of injected insulin depends on the level of blood glucose
which should not be too low.
It is better to have blood glucose level 160-190 mg% (8.9-10.5 mmol/L)
than below 30-50 mg% (1.7-2.8 mmol/L). It is better to administer
less insulin than too much.
It seems, that reduction of carbohydrates on one day, and on second
day the diabetes disappears. It should be like that, since the body
has carbohydrates reserves for only several hours. Unfortunately,
it is not like that. Such substantial change in diet is forcing
the body to its total reconstruction. It is necessary to build new
enzymes for burning fat and to destroy old enzymes needed for burning
or transformation carbohydrates into fat and cholesterol. Enzymes
are built from proteins. From 100 grams of proteins 56 grams of
carbohydrates are produced . The patient eats a little carbohydrate
but produces them a lot. When the reconstruction process is finished,
the production of carbohydrates from proteins is reduced, then the
doses of injected insulin should be lowered or stopped subject to
the blood glucose level. The consumed quantity of carbohydrates
should be adjusted that there are no ketone bodies in the urine.
Ketone bodies can appear in urine when the consumption of carbohydrates
is about 30 grams and even when the consumption is 60 grams per
day. It is necessary to check urine on appearance of ketone bodies,
if there is no indication on presence of ketonuria the consumption
of carbohydrates can be reduced. In case when ketone bodies are
present in the urine, the consumption of carbohydrates should be
increased temporary by 10 - 20 grams. If diabetes is short duration
and doses of insulin are small, the cure can be achieved after few
days. If the disease last long, the damage caused by the disease
can be considerable, the doses of insulin are large and the retreat
of the disease can last longer. Sometimes, the pancreas of diabetic
patient is so damaged that does not produce insulin at all, this
happens very rarely, but it can happen. In this case, the small
doses of insulin should still be administered, although, there is
no diabetes and there is no threatening of any consequences of diabetes.
Generally, at the beginning of optimal diet the dose of
should be reduced by half. Sometimes, it is necessary to wait a
longer time to reduce the amount of insulin, however, when the doses
of insulin are small, it can be immediately stopped. It is necessary
to frequently check the blood glucose and the presence of ketone
bodies in urine. In case of increased blood glucose few units of
insulin should be added, and when the ketone bodies appear in urine
the consumption of carbohydrates should be increased.
When the level of blood glucose without insulin taken the previous
evening will be below 140 mg% (7.8 mmol/L) fasting in the morning
it means that diabetes has gone.
The most danger diabetes complication is too low level of blood
glucose always this is caused by overdose of insulin. The correct
blood glucose level on optimal nutrition is 100 to 140 mg% (5.5-7.8
You and your daughter should be well prepared for implementing optimal
nutrition. The daughter should remember about possible dangers and
she can manage to avoid them then she has the chance to be cured
Dr Jan Kwasniewski