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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

Indeed, 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.
Optimal Nutrition 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 destroy
Beta cells.
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 retreats.
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
insulin taken
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 mmol/L).
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 from diabetes.

Dr Jan Kwasniewski

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