The Type II Diabetes Diet Book (Lowell House)

Although the book is very well written and seems to offer hope to diabetics, my endocrinologist refuses to support my efforts to lose weight using this diet. She asserts that I could suffer kidney damage from being in ketosis. I am self-supporting and am planning on retiring next year. I cannot take a chance that my doctor would refuse to treat me if I became ill as a result of disregarding her recommendations.

Thank you!

Eva Anderson

This book is changing my life. After watching my weight creep up, up, up for the past 8 years and dealing with the usual results...high blood pressure, high cholesterol, clothes not fitting, depression, and most recently, mild type-2 diabetes, I got my hands on this book and I now have a clear understanding of what I've been doing to my body and what foods I need to really watch. By following the book's guidelines I've been able to lose 14 pounds in about 5 weeks. I still have a ways to go but I'm confident that I'll be able to accomplish my goal. And, without hunger. Even if you're not (yet) diabetic but need to lose some unwanted pounds, I guarantee you'll be able to quickly do it with these guidelines. After my fantastic results so far, my doctor is ordering a copy and will be recommending it to other patients. One of the biggest things I learned..."Sugar is the #1 poison!"...which it states throughout.

When I first looked at this book, I thought there's no way - how can I go without bread, rice, pasta, etc. After thinking about it for a couple of weeks I decided to give it a try. I loved it. I truly never missed the processed foods and surprisingly was never hungry. I feel like my diet is much more nutritionally sound than what I had been eating, and after the first couple of weeks I had pretty much trained myself what and how much to eat. I've lost 18 pounds so far and a lot of it has been the "stubborn belly fat". Couldn't be happier and feel great. I think that as much as following the diet you need to include the exercise, which is talked about in the book. This diet may not be for everyone, but as someone who has been unsuccessful with weight loss, even with exercise, it's been a Godsend.

I was initially very excited to read this book, based upon most of the reviews as well as the preliminary information I read. However, after carefully reading the information, I'm afraid I cannot recommend this book to anyone else in good conscience, due to the issues I point out in the following note, which was e-mailed to the author at the address given in the book (and subsequently returned as "undeliverable," as the e-mail listed in the book is apparently incorrect or no longer working).

Not only didn't the figures from the book's Daily Meal Plans add up (which as you can see from my note below, were WELL beyond their stated limit of 40g of carbohydrates per day, even for a partial list of items from their very own recipes), but the e-mail itself was returned as undeliverable at the address listed on page 149 of the book (ezrin-ctrs@aol.com).

If the daily menus contained in the book don't even conform to the author's very own stated requirements and even the author's e-mail address is incorrectly listed, why in the world would a reader ever entrust their own health and well being to this dietary program?

I assure you I am in no way connected to any other dietary program of any kind, nor do I have any ax to grind against either the authors or their Insulin Control Diet program. I'm just a guy very recently diagnosed with a condition of "Type II Diabetes" whose doctor recommended weight loss as a solution and who turned first to this book in order to try to find it.

I even gave the authors the benefit of the doubt by trying to contact them based upon the information they gave in the book to obtain clarification on the apparent inconsistencies in the text, in case my observations were incorrect. But as I mentioned, I was unable to receive a response, due to the apparently inaccurate listing of the e-mail address for the author.

I am extremely disappointed in the book, not only due to its incomplete or inconsistent information, but also due to its extremely haphazard presentation.

My note to the author (returned as undeliverable) is included below.

R. McGowan
Los Angeles, CA

-----Original Message-----
Sent: Wednesday, January 05, 2005 11:44 AM
To: 'ezrin-ctrs@aol.com'
Subject: Figures for the Figure don't Figure
Importance: High

Dr. Ezrin,

I am a 46-year-old male recently diagnosed with Type-II Diabetes and was excited to discover your "Type 2 Diabetes Diet Book," since it was written from the perspective of an endocrinologist. While the program does seem to make sense overall, what is most perplexing to me is how you arrive at a daily carbohydrate intake limit of 40g for your meal plans (which you say the daily meal plans maintain).

You mention several times throughout the book that a standard serving of fruit consists of 15g of carbohydrate (also referenced in the Appendix on pp. 303- 304). Since each of the meal plans consist of 2 standard servings of fruit (or even 2 ½, such as in the example I give below), this means that fruit alone counts for a full 75% - 94% (30g - 37.5g) of the daily carbohydrate intake amount, leaving only 10g carbohydrate for all the rest of the foods combined throughout the day.


As an example, following is the carbohydrate breakdown for Day Two of the Insulin Diet Meal Plan (from p. 135), based entirely upon the carbohydrate figures referenced in the Appendix:

Breakfast

Decaffeinated coffee- (not in Appendix)- 0g?
1 soft-cooked egg- 0.6g
1 cup chicken bouillon (not in Appendix, but listed separately on p. 243)- 1g
1 peach- 15g


Lunch

Iced coffee (not in Appendix)- 0g?
Salmon Salad Sandwich- 5oz (1tbs chopped onion- 0.6g; mayonnaise- 1g; lettuce- 1g)
Salad (not defined) with Low-Cal Vinaigrette (iceberg lettuce- 2.9g; Vinaigrette dressing- 6.6g)
Gelatin (why not specifically state "sugar-free" here??? I'm assuming it is...) with D-Zerta topping- 0g?


Snack (afternoon or evening)

1 ¼ cup watermelon cubes- 15g



Dinner

Decaffeinated coffee- 0?
Chinese Fish Steaks- (1/2 cup chicken bouillon- .5g; mushrooms- NOT EVEN LISTED ON THE VEGETABLES LIST IN THE APPENDIX!- 0.5G?; soy sauce- NOT LISTED IN THE APPENDIX- 0.5G?)
Beans with Basil (It doesn't specify the KIND of beans. However, based upon the Appendix under "Vegetables," `1/2 cup of cooked beans shows 15g carbohydrate)
Salad (not defined) with Low-Cal Vinaigrette (iceberg lettuce- 2.9g; Vinaigrette dressing- 6.6g)
1 cup beef bouillon- 1g
Gelatin & Fruit (again, it doesn't specify "sugar-free," but I'm assuming so. However, even ¼ cup of fruit is still 7.5g carbohydrate, no matter how you slice it)



You separately caution to allocate fruit portions sparingly, and yet even in this ONE DAY of the meal plan, the fruit portions alone that you specify already account for a full 37.5g of carbohydrates of the 40g maximum daily intake of carbohydrate that you recommend (in fact, you even state a recommended limit of between only 20 - 35 grams of carbohydrate in any 24-hour period elsewhere in the book).

The total amount of carbohydrate of all the other ingredients combined for this one-day's meal plan alone (the carb amounts for which are all pulled from the book's Appendix) which even then only constitute a partial list, based upon what the recipes call for, comes to 46.7g (already over your 24-hour maximum limit). When added to the amount of fruit indicated, this makes a carbohydrate consumption of 84.2g for this one-day's meal plan alone- well over TWICE the daily carbohydrate intake you recommend throughout the book (FOUR-TIMES the amount, if you go by your lower recommendation of 20g carbs per day).

Examples from the text, for reference:

p. 109, paragraph 2: "For the duration of your weight loss period, we ask that you limit your total carbohydrate intake to 20 to 35 grams." (while it doesn't specify "per day" here, elsewhere you do indicate no more than 40 grams during any 24-hour period).

p. 109, paragraph 3: "In other words, more than 40 grams of carbohydrate in any form will trigger your overproduction of insulin and return you to the weight gain cycle you know so well." (again, based upon other references, this indicates "per-day").

p.111, paragraph 3: "Be advised, however, that regardless of total calories consumed, carbohydrate intake for the day should never exceed 40 grams."

Which begs the following question: "How can any reader reasonably trust the advice given, when the numbers for your own daily meal plans don't even come close to remaining within your stated limitations for daily carbohydrate intake?

Secondly, it took me over an hour-and-a-half to determine the actual carbohydrate amounts listed for this one day's meal plan listed above alone, since it required me to constantly flip back-and-forth between the meal plan listing (which DOESN'T indicate any carbohydrate/protein/fat information), the recipes (which are also difficult to track down and which also don't list any carbohydrate/protein/fat information for any of the ingredients) and the Appendix (which doesn't include information on all the items in the recipes and, even if it does, does not give information equivalent to the amounts the recipes call for).

It would be a FAR more usable resource if the information was:

a. more comprehensive, including carb/protein/fat amounts listed right along-side meal plan and recipe ingredients;

b. more logically presented, so that a reader doesn't have to shift back-and-forth between the meal plans, the recipes (which are also hard to locate), and random information sprinkled throughout the text itself (such as the information on boullion, which is not in the index, but only in a separate section I was able to locate) and

c. constructed to stay within it's own set of stated parameter guidelines.

For example, the appendix lists "1 celery stalk" as having 2g carbohydrates, but the recipe for "Salmon Salad Sandwich" calls for "1 tbsp of chopped celery." How are you supposed to make the conversion between "1 celery stalk" and "1 tbsp of chopped celery?," in order to evaluate that "all-important" carb-per-day total? And while "1 tbsp of "chopped chives" is listed in the Appendix, "1 tbsp of onion" called for in the recipe is not and "green pepper," which is also called for in the recipe, is not even on the Appendix under vegetables at all! (nor, by the way, are mushrooms, which are called for in a separate recipe).

The fundamental question is this: If "more than 40 grams of carbohydrate in any form will trigger your overproduction of insulin and return you to the weight gain cycle you know so well," as you state on page 109 and your own meal plan doesn't even maintain those guidelines, then how on Earth can the Insulin Diet program that you recommend possibly accomplish the weight loss goals that you claim? The figures simply don't add up. Either your statements regarding a daily limit of 40g carbohydrate are incorrect, or else your meal plans simply do not work, according to the parameters you yourself have indicated.

I'd love to receive clarification on this issue at your earliest convenience, since I do want to get a handle on the effects of added weight on the symptoms for Type II Diabetes. However, I can only do that if I have complete confidence in the logic of the information that's being presented. As it is, my confidence in the program is shaky, since the figures on how to improve my figure just don't figure.

I look forward to your reply.

Best,
R. McGowan

OK, this is less about the book than it is about the diet. It works. I have tried everything including Atkins and Weight Watchers. I had 15 pounds to lose. When my doctor said elevated blood sugar was the only thing he could find to explain why I wasn't losing the weight, I bought this book. Now, it is NOT an 'eat all you want of certain foods' diet. And sometimes I've been hungry. But it is easy to follow, not the least complicated and there's no measuring (aside from knowing what 3-4 ounces of meat/chicken/fish looks like, and 1/2 cup of fruit/vegetable.) I'm down 14 1/2 pounds. One caviat: since I didn't have a lot of weight to lose (I'm guessing this is the reason) it's taken me awhile. But it's the only thing that has worked. Right now I'm slowly re-introducing grains (bread, brown rice) and the loss continues (this was a problem with Atkins - the minute I ate a dinner roll, the weight came back). It really works.