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Re: Dr. Bernstein says

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Since I discourage the use of milk and milk products (except cheese, yogurt,

and cream), which are good sources of dietary calcium, the potential for

bone mineral depletion is indeed real. This is a special problem for women,

who tend to lose bone mass at an increased rate after menopause. I recommend

a calcium supplement to anyone who follows our diet and doesn't eat cheese

or use cream, especially women. Since some women rapidly lose calcium from

their bones after menopause, it makes sense to build up calcium stores

earlier in life, and to offset high-fiber and high-protein diets with extra

calcium. Calcium supplementation, by the way, is most important for growing

teenagers who follow such diets. I recommend calcium citrate (Citracal, from

Mission Pharmacal Company) because it is well absorbed in the gut and,

unlike other calcium formulations, does not predispose to formation of

kidney stones. Each tablet contains 315 mg of elemental calcium. Appropriate

daily doses are 2-6 tablets for men and 4-8 tablets for women. One study of

calcium supplementation suggests the equivalent of at least 3 Citracal

tablets for every 10 ounces of protein consumed. Calcium supplements should

be taken with meals. Calcium tablets taken at bedtime are often effective in

reducing the frequency of nocturnal muscle cramps in the legs. Sedentary

people lose more bone calcium over a lifetime than do physically active

people. Exercise builds bone just as it builds muscle.

Dr. Bernstein says

> Ideally, your blood sugar should be the same after eating as it was

before.

> If blood sugar increases by more than 20 mg/dl after a meal, even if it

> eventually drops to your target value, either the meal content should be

> changed or blood sugar-lowering medications should be used before you eat.

>

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This belief often means an insulin reduction too.If your insulin peaks

after you have eaten, then having an absolutley normal BS 2 hours affter

eating many mean you will go iinto reaction before you have the next meals.

Even non-diabetics can have a BS of 130-140 after eating for a short time.

Dr. Bernstein says

Ideally, your blood sugar should be the same after eating as it was before.

If blood sugar increases by more than 20 mg/dl after a meal, even if it

eventually drops to your target value, either the meal content should be

changed or blood sugar-lowering medications should be used before you eat.

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" You're the only person who can be responsible for normalizing your blood

sugars. Although your physician may guide you, the ultimate responsibility

is in your hands. This task will require significant changes in lifestyle

that may involve some sacrifice. The question naturally arises, " Is it

really worth the effort? "

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