The Blood Sugar Solution : the Ultrahealthy Program for Losing Weight, Preventing Disease, and Feeling Great Now! / Mark Hyman
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T HE BLOOD SUGAR SOLUTION BloodSugarSolu_HCtext2P.indd iii 12/14/11 5:39:14 PM Also by Mark Hyman, MD Ultraprevention Ultrametabolism The Five Forces of Wellness (CD) The UltraMetabolism Cookbook The UltraThyroid Solution The UltraSimple Diet The UltraSimple Challenge (DVD) The UltraMind Solution Six Weeks to an UltraMind (CD) UltraCalm (CD) BloodSugarSolu_HCtext2P.indd iv 12/14/11 5:39:14 PM T HE BLOOD SUGAR SOLUTION The UltraHealthy Program for Losing Weight, Preventing Disease, and Feeling Great Now! Mark Hyman, MD LITTLE, BROWN AND COMPANY New York Boston London BloodSugarSolu_HCtext2P.indd v 12/14/11 5:39:14 PM This book is intended to supplement, not replace, the advice of a trained health profes- sional. If you know or suspect that you have a health problem, you should consult a health professional. The author and publisher specifically disclaim any liability, loss, or risk, personal or otherwise, which is incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this book. Copyright © 2012 by Hyman Enterprises, LLC All rights reserved. In accordance with the U.S. Copyright Act of 1976, the scanning, uploading, and electronic sharing of any part of this book without the permission of the publisher is unlawful piracy and theft of the author’s intellectual property. If you would like to use material from the book (other than for review purposes), prior written per- mission must be obtained by contacting the publisher at [email protected]. Thank you for your support of the author’s rights. Little, Brown and Company Hachette Book Group 237 Park Avenue, New York, NY 10017 www.hachettebookgroup.com First Edition: February 2012 Little, Brown and Company is a division of Hachette Book Group, Inc., and is celebrating its 175th anniversary in 2012. The Little, Brown name and logo are trademarks of Hachette Book Group, Inc. The publisher is not responsible for websites (or their content) that are not owned by the publisher. The Hachette Speakers Bureau provides a wide range of authors for speaking events. To find out more, go to www.hachettespeakersbureau.com or call (866) 376-6591. Diabesity is a trademark owned by Hyman Enterprises LLC. Library of Congress Cataloging-in-Publication Data Hyman, Mark The blood sugar solution : the ultrahealthy program for losing weight, preventing disease, and feeling great now! / Mark Hyman. p. cm. Includes bibliographical references and index. ISBN 978-0‑316-12737-0 (hc) / 978-0‑316-19617-8 (large print) 1. Blood sugar — Popular works. 2. Diabetes — Diet therapy — Recipes. 3. Insulin resistance — Popular works. 4. Weight loss — Popular works. I. Title. QP99.3.B5H96 2012 612.1' 2 — dc23 2011034644 10 9 8 7 6 5 4 3 2 1 rrd-c Printed in the United States of America BloodSugarSolu_HCtext2P.indd vi 12/14/11 5:39:14 PM For the first generation of children in history that will live sicker and die younger than their parents. For their sakes and ours may we all work together to take back our health. BloodSugarSolu_HCtext2P.indd vii 12/14/11 5:39:14 PM BloodSugarSolu_HCtext2P.indd viii 12/14/11 5:39:14 PM Contents How to Use This Book xiii Join the Blood Sugar Solution Community Today xix Do You Have Diabesity? xxi Introduction. Diabesity: What You Don’t Know May Kill You 3 PART I UNDERstANdiNG thE MODERN PLAGUE 1. A Hidden Epidemic: The United States of Diabetes 7 2. The Real Causes of Diabesity 14 3. Seven Myths About Obesity and Diabetes That Keep Us Sick 21 4. Food Addiction: Fixing Your Brain Chemistry 36 5. How Big Food, Big Farming, and Big Pharma Are Killing Us 46 6. Functional Medicine: A New Approach to Reverse This Epidemic 54 PART II THE SEVEN STEps TO TREAtiNG DIABEsity 7. Understanding the Seven Steps 63 8. Step 1: Boost Your Nutrition 72 9. Step 2: Regulate Your Hormones 87 10. Step 3: Reduce Inflammation 98 ix BloodSugarSolu_HCtext2P.indd ix 12/14/11 5:39:14 PM Contents 11. Step 4: Improve Your Digestion 111 12. Step 5: Maximize Detoxification 118 13. Step 6: Enhance Energy Metabolism 126 14. Step 7: Soothe Your Mind 134 PART III THE BLOOD SUGAR SOLutiON: PREPARAtiON 15. Start the Journey 141 16. Harness the Power of Community 163 17. Take a Measure of Yourself 172 PART IV THE SIX-WEEK ActiON PLAN 18. Ready. Set. Take Action! 189 19. Week 1: Eat Your Medicine: Nutrition Basics for Everyone 192 20. Week 2: Optimize Metabolism with Nutritional Supplements 215 21. Week 3: Relax Your Mind, Heal Your Body 232 22. Week 4: Fun, Smart Exercise 240 23. Week 5: Live Clean and Green 247 24. Week 6: Personalize the Program 255 25. The Blood Sugar Solution: Weekly Overview 276 26. Get Healthy for Life 287 PART V TAKE BAck OuR HEALth 27. Get Healthy Together: Creating a Social Movement 299 Conclusion: Reversing the Diabesity Epidemic 313 x BloodSugarSolu_HCtext2P.indd x 12/14/11 5:39:14 PM Contents PART VI THE BLOOD SUGAR SOLUTION MEAL PLAN AND REcipES 28. Your Six-Week Meal Plan 317 29. Recipes and Shopping Lists 322 Acknowledgments 373 Resources 377 Notes 395 Index 413 xi BloodSugarSolu_HCtext2P.indd xi 12/14/11 5:39:14 PM BloodSugarSolu_HCtext2P.indd xii 12/14/11 5:39:14 PM How to Use This Book You may have picked up this book for many reasons. You may be interested in understanding the scope and impact of our current global epidemic of obesity and type 2 diabetes or what should be called “diabesity.” You may want to understand the social, political, or economic fac- tors that continue to fuel this epidemic and what we can do about them. You may be a policy maker, health care organization, educator, or reli- gious leader looking for a solution. You may be a scientifically curious health care consumer or health care practitioner who wants to better understand the biology of obesity and diabetes and why it is so difficult to find an effective solution, despite the advances of modern medicine. You may want to create or join a group or be part of a grass-roots social movement to change the course of this epidemic. Or you may simply be looking for a practical solution and program to lose weight and reverse your own type 2 diabetes or pre-diabetes. Whatever your reasons, this book is for you. We face a problem that will touch almost everyone on the planet. It is no secret we are in the middle of an explosive epidemic of obesity and type 2 diabetes. As a physician, scientist, educator, and citizen, I have struggled to find a comprehensive solution. That is what motivated me to write this book, The Blood Sugar Solution. It is about much more than blood sugar. It is about getting to the xiii BloodSugarSolu_HCtext2P.indd xiii 12/14/11 5:39:14 PM How to Use This Book While this book is primarily about obesity and type 2 diabetes, it can be helpful for type 1 diabetics who want to live a healthy blood sugar– balancing lifestyle. Type 1 diabetes is an autoimmune disease that results in damage to the pancreas and lack of insulin production. Type 2 diabetes is also an inflammatory disease, but it is a disease oftoo much insulin, where your cells become numb to the insulin produced by the body. This is called insulin resistance and often precedes the onset of type 2 diabetes by years or decades. This book is about type 2 diabetes and insulin resistance, so whenever I refer to diabetes in this book, I am referring to type 2 diabetes. very root of the problem and providing a solution on a biological, per- sonal, social, and economic level. The book opens with a simple quiz to help identify if you have “diabesity.” Since one in two Americans has this problem, the answer will likely be yes. In Chapter 1 of Part I, “Understanding the Modern Plague,” I explore the scope of the epidemic across the globe and its impact not only on rich Western countries, but also on the developing world. In Chapter 2, we will review the real biologic cause of the epidemic — insulin resistance — and why our current approaches to the problem don’t work. In Chapter 3, I dispel the medical myths that prevent us from effec- tively addressing the epidemic, for example, that obesity and type 2 diabetes are genetic, or that type 2 diabetes is not reversible, or that medication is effective in preventing or treating diabetes and related diseases. In Chapter 4, I explore new research on the biology of food addic- tion and why food cravings and overeating are not your fault. This brings into question our food marketing practices and their impact on children and childhood obesity. In Chapter 5, I explore how Big Food, Big Farming, and Big Pharma fuel the epidemic of obesity, diabetes, and chronic disease across the xiv BloodSugarSolu_HCtext2P.indd xiv 12/14/11 5:39:14 PM How to Use This Book The UltraWellness Quiz: Discover The Root Causes of Weight Gain and Diabetes This book will help you understand and treat the underlying causes of weight issues and diabetes and almost any chronic health problem. Inside this book are special quizzes that together make up The UltraWellness Quiz. It is the key to discovering the cause and the cure of all your health problems and creating a clear personalized path to health. The science behind this, functional or whole systems medicine, allows you to discover the true source of your health issues through a specific set of quizzes.