The Blood Sugar Solution Cookbook (2 page)

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Authors: Mark Hyman

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BOOK: The Blood Sugar Solution Cookbook
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My book
The Blood Sugar Solution
is an owner’s manual for personal health and a manifesto for us all to take back our health. First, it provides a step-by-step, goof-proof plan to reverse the root causes of diabetes and obesity—what I call
diabesity.
Next, it provides a roadmap for us to get healthy together—because getting healthy is a team sport. Finally, it is a manifesto motivating us to take back our health in our kitchens, homes, schools, workplaces, faith-based communities, and even in our media, our food system, our health-care system, and our democracy. A tall order to be sure, but one that is necessary if we are to have a sustainable future—for ourselves, our children, our economy, and the environment.

The Blood Sugar Solution
is all about the root causes of chronic disease—and one of the major culprits is poor nutrition. The fundamental idea revolutionizing nutrition science is this:
food is not just calories; it is information.
And with the right information you can upgrade your biological software in real time, literally with every bite. Food is medicine. In fact, what you put on your fork is more powerful than anything you will ever find in a pill bottle. The recipes in this book were created based on the guidelines in
The Blood Sugar Solution,
a six-week plan designed to reverse diabesity. I have included recipes designed to be used when the six weeks are over, during what I call the “reintroduction phase.” I have also added a few special low-glycemic desserts (low glycemic refers to foods that don’t raise your blood sugar as much or as fast as high glycemic foods), which can be enjoyed at the end of the first six weeks of the plan as occasional treats.

DO I HAVE DIABESITY?

Diabesity refers to the continuum of blood sugar and insulin imbalance that causes everything from mild weight problems and a little belly fat to pre-diabetes to full-blown type 2 diabetes. It affects one in two Americans, one in four African Americans, one in four Medicare patients, and one in four teenagers. It is a global problem—80 percent of the world’s diabetics live in developing countries. And it affects skinny people, too! In fact 37 percent of skinny kids and 23 percent of skinny adults (only 35 percent of Americans are considered of normal weight) have diabesity—they look skinny but are metabolically fat. Doctors call it “metabolically obese normal weight.” I call it the “skinny fat syndrome.” Indeed, 90 percent of people with diabesity are
not
diagnosed. In other words, you probably have it and don’t know it.

Take this short quiz to see if you might have diabesity, and then the extended quiz in
Chapter 1
. You can also take the whole quiz at bloodsugarsolution.com/take-the-diabesity-quiz/.

Do I Have Diabesity?

If you answer “yes” to any of these questions, you may already have diabesity or are headed in that direction. If so, continue on to the Comprehensive Diabesity Quiz in
Chapter 1
.

  • Do you have a family history of diabetes, heart disease, or obesity?
  • Are you of nonwhite ancestry (African, Asian, Native American, Pacific Islander, Hispanic, Indian, Middle Eastern)?
  • Are you overweight (body mass index [BMI] over 25)? See
    Chapter 1
    to calculate your BMI based on weight and height.
  • Do you have extra belly fat? Is your waist circumference greater than 35 inches for women or greater than 40 inches for men?
  • Do you crave sugar and refined carbohydrates?
  • Do you have trouble losing weight on a low-fat diet?
  • Has your doctor told you that your blood sugar is a little high (greater than 100 mg/dl) or have you actually been diagnosed with insulin resistance, pre-diabetes, or diabetes?
  • Do you have high levels of triglycerides (over 100 mg/dl) or low HDL (good) cholesterol (<50 mg/dl)?
  • Do you have heart disease?
  • Do you have high blood pressure?
  • Are you inactive (less than 30 minutes of exercise 4 times a week)?
  • Do you suffer from infertility, low sex drive, or sexual dysfunction?
  • For women: Have you had gestational diabetes or polycystic ovarian syndrome?

The Blood Sugar Solution translates scientific research into practical recommendations for anyone who wants to get and stay healthy. Soon you will start on the path toward balancing your insulin. But first you need to take some baseline measurements, a quiz, and a few tests to determine which version of the program you should be following, and which recipes in this book are right for you.

THE BASIC AND ADVANCED PLANS

There are two versions of the program. The one you need depends on your score on the comprehensive diabesity quiz. The
Basic Plan
can be followed by anyone. It balances your blood sugar, reduces insulin spikes, balances hormones, cools off inflammation, helps improve digestion, boosts your metabolism, enhances detoxification, and calms your mind
and nervous system. Eighty percent of you following the Basic Plan will have all the tools you need to heal from diabesity and take control of your health.

The
Advanced Plan
is designed for people with more severe cases of diabesity, including those who have been diagnosed with type 2 diabetes. Some of us are genetically more susceptible to becoming insulin resistant and pump out much more insulin in response to a given sugar load, even if we are thin. The genomic revolution and our understanding of the various factors that create imbalances in our metabolism force us to move beyond the one-size-fits-all prescriptions of the past into personalized medicine and health.

If you qualify for the Advanced Plan you will need to take an additional set of supplements (see my book
The Blood Sugar Solution
or visit bloodsugarsolution.com/diabesity-supplements) and to make a few extra dietary changes.

To determine which plan is best for you and effectively track your progress, you need to complete three action steps: gather your measurements, take the quiz in
Chapter 1
, and get tested.

START A JOURNAL NOW

Before you start the program, I want you to start keeping a journal. Journaling is an excellent way to get in touch with your inner guidance system, to break the cycle of mindless eating and activity, to be honest and accountable and present to yourself. You might overeat because something is eating you, or stuff yourself with food in order to stuff your feelings away. If you use food to block feelings, you can instead use words to block food. You can write in order to better metabolize your feelings so they don’t end up driving unconscious choices or overeating. A diet of words and self-exploration often results in weight loss.

You can also use the journal to track your daily food intake, your exercise, sleep, symptoms, and your “numbers,” including weight, waist size, and lab tests. Watching how you feel as you alter your food intake,
begin taking supplements, and start to exercise more is like “innercise” that will strengthen your capacity for creating high-level wellness and wholeness.

GATHER AND RECORD YOUR BODY MEASUREMENTS

You can quickly gather and track critical information about your health with four simple, easy-to-obtain measurements that will speak volumes about your health and metabolism. Here is what to measure and how to measure it. (You can find special health trackers and online versions of these tools at bloodsugarsolution.com/health-tracker.)

YOUR WEIGHT
  • Weigh yourself first thing in the morning without clothes and after going to the bathroom. Track your weight weekly in your journal.
YOUR HEIGHT
  • Measure yourself in feet and inches. Write it in your journal.
YOUR WAIST SIZE
  • Measure the widest point around your belly button. Track this measurement weekly in your journal.
YOUR BLOOD PRESSURE
  • Buy a home blood pressure cuff or go to a drugstore that measures blood pressure for free, or ask your doctor to measure it.
  • Measure your blood pressure first thing in the morning, before you start your daily activities. Ideal blood pressure is less than 115/75. Over 140/90 is significantly elevated.
  • Track your blood pressure weekly in your journal.

Once you have these critical measurements you can determine other key numbers.

1. YOUR BODY MASS INDEX (BMI)
  • Your BMI is your weight in kilograms divided by your height in meters squared. For ease of calculation, use our online calculator at bloodsugarsolution.com/tracking-tools. Or use this calculation: BMI = weight in pounds times 703, divided by height in inches squared. For example, I weigh 185 pounds and am 75 inches tall, so my BMI is 185 × 703/75
    2
    = 23.
  • This gives you a way to track whether you are normal weight, overweight, or obese. Normal BMI is less than 25, overweight is 26 to 29, and obese is over 30. However, you should take into account your waist size as well. If you weigh a lot but are a muscular bodybuilder with a small waist, you could be healthy. If you have skinny arms and legs and a skinny butt but a potbelly, you might have a normal BMI but be at risk for diabesity. Furthermore, certain ethnic groups—such as Asians, Hispanics, Pacific Islanders, Inuit, Indians, and Middle Easterners—have diabesity at much lower BMIs.
  • Track your BMI weekly in your journal along with your other measurements.
2. YOUR WAIST-TO-HEIGHT RATIO
  • To calculate this, divide your waist measurement by your height in inches, and then move the decimal point two places to the right. See the chart opposite to interpret your waist-to-height ratio or go to bloodsugarsolution.com and enter your height and weight online. It will then be automatically calculated for you.
  • This measurement tells whether you are fat around the middle. (If you stand sideways while looking in the mirror and have a big belly, or if you can’t see your toes when standing up, then you have a problem.)
  • This number is a better predictor of diabesity, heart disease, and risk of death than almost any other number. It is also easier to calculate.
  • Measure this weekly while on the program and record it in your journal. Once you have gone off the program, you can measure it once a month.
Waist-to-Height Table
WOMEN
  • Ratio <35: abnormally slim to underweight
  • Ratio 35–41: extremely slim
  • Ratio 42–45: slender and healthy
  • Ratio 46–48: healthy, normal weight
  • Ratio 49–53: overweight
  • Ratio 54–58: extremely overweight/obese
  • Ratio >58: highly obese
MEN
  • Ratio <35: abnormally slim to underweight
  • Ratio 35–42: extremely slim
  • Ratio 43–45: slender and healthy
  • Ratio 46–52: healthy, normal weight
  • Ratio 53–57: overweight
  • Ratio 58–63: extremely overweight/obese
  • Ratio >63: highly obese

Go to bloodsugarsolution.com/health-tracker to learn more about our online tracking tools. They can help you track all of your quiz scores, body measurements, and blood test results, as well as your daily experiences, thoughts, and feelings so you can easily measure your progress over time. Tracking your progress will benefit you, but if you share your progress at bloodsugarsolution.com, you can also be part of our patient-driven research program and help transform health care to improve the health of others.

Take the Comprehensive Diabesity Quiz

Now that you have recorded your BMI and waist-to-height ratio, you are ready to find out whether you should go on the Basic or Advanced Plan. At the beginning of this chapter you took a simple screening quiz to see if you might have diabesity. Now you can take a closer look at the severity of your problem. Take the quiz below. Score one point for each of the questions you answer “yes” to.

Comprehensive Diabesity Quiz

• Do you ever get an urge for something sweet, give in to it, experience a brief “sugar high,” and later crash into the “sugar blues”?

• Did your doctor ever tell you that your blood sugar was “a little high”?

• Would you describe yourself as an inactive person?

• If you go more than a few hours between meals, do you get irritable, anxious, tired, jittery, or have headaches intermittently throughout the day—and then feel better after you’ve eaten?

• Do you feel shaky 2–3 hours after a meal?

• Do you have trouble losing weight on a low-fat diet?

• If you miss a meal, do you feel cranky, irritable, weak, or tired?

• If you have a muffin, a bagel, cereal, pancakes, or other carbs for breakfast, is your eating out of control all day?

• Do you feel as though you can’t stop eating once you start eating sweets or carbohydrates?

• Does a bowl of pasta or potatoes put you right to sleep, but a meal of fish or meat and vegetables makes you feel good?

• Do you go straight for the bread basket at restaurants?

• Do you get heart palpitations after eating sweets?

• Do you tend to retain water after eating salty foods?

• If you skip breakfast, are you likely to have a panic attack in the afternoon?

• Do you absolutely, positively have to have your cup of coffee in the morning in order to get yourself going?

• Do you often get moody, impatient, or anxious?

• Have you been having any problems lately with your memory and concentration?

• Do you feel calmer after you eat?

• Do you get tired a few hours after eating?

• Do you get night sweats (even if you are a man)?

• Do you feel the need to drink a lot of liquids?

• Do you feel that you get colds or infections more frequently than most people you know?

• Are you tired most of the time?

• Do you suffer from infertility or, for women, have symptoms of polycystic ovarian syndrome (irregular cycles, facial hair, and acne)?

• For men: Do you suffer from impotence or erectile dysfunction?

• Do you have jock itch, vaginal yeast infections, anal itching, toenail fungus, dry scaly patches on your skin, or other symptoms of chronic fungal infections?

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