KARPAT PUBLISHING CO. Inc.
P. O. BOX 5348
CLEVELAND, OHIO 44101
© 1971. Karpat Publishing Co. Inc.
... is to promote intelligent cooperation of patients with physicians.
Patients will be able to notice and describe possible low blood sugar conditions and thus help their physicians in the correct diagnosis. They understand the meaning of restrictions before and during the glucose tolerance test and the purpose of other examinations. They will intelligently adhere to the prescribed diet because they understand the undesirable effect of the forbidden food items.
Physicians save time in explaining their procedure by advising patients to read this pamphlet. They need to answer individual questions only.
This time saving has an advantage to the patients; also, because it makes their visits shorter and less expensive At home they can study the instructions at leisure and will not forget them, because they have them in writing.
The content of this pamphlet is compiled from the medical literature listed on pages 30 to 32. Books are quoted by name of author, title and page number. Though the writers of these books agree in general, there is some disagreement among them regarding the causes, diagnosis and treatment. All the books contain some new and practical information. Try to read as many of them as you can. Ask your public library to acquire these books.
To the best of our knowledge and belief the information we give and any opinions or suggestions we offer are sound, but we give them as public service and disclaim responsibility for any action in reliance thereon. We do not represent ourselves as experts find no confidential trust or professional relationship may be inferred at any time.
It is definitely not the purpose of this pamphlet to encourage self-treatment. The risks involved in self-treatment are dearly stated on page 7. Any referrals to physicians do not constitute recommendation or endorsement. All doctor-patient relationships must be made personally and are independent of our activities.
Experts think that low blood sugar condition (hypoglycemia) is five to ten times more frequent than diabetes in the U.S.A. Roberts and Hurdle estimate that 50 million Americans suffer from it.Nittler thinks the real number is much higher, and closer to 80% of the population. Almost all the alcoholics have this condition and about 40% of neurotics and psychotics can contribute part of their problems to low blood sugar.
Generally it is not dangerous, but mistreatment may be fatal when it accompanies diabetes (reactive hypoglycemia), or when a psychotic hypoglycemic patient is treated by insulin Coma. Irreparable brain damage may occur when a hypoglycemic patient is mistaken for an alcoholic and is put in jail without emergency treatment. Misdiagnosis may cause long years of expensive and unnecessary suffering in clinics and mental hospitals.
Misdiagnosis included asthma, neurosis, imaginary sickness, epilepsy, psychosis, nervous skin disease, arthritis, hypertension, menopause, mental retardation, childbirth psychosis, diabetes, alcoholism, Meniere's syndrome, cerebral arteriosclerosis. In some cases hypoglycemia was properly diagnosed, but erroneously treated with sugar.
In spite of the fact that the low blood sugar condition was discovered in 1924 by Dr. Seale Harris, M.D. who 23 years later received the Distinguished Service Medal for his research from the American Medical Association, it is still hard to find a physician who has an updated knowledge in this field. Even doctors are suffering from low blood sugar without realizing their condition.
The reason for this lack of knowledge is that low blood sugar condition is not taught in sufficient detail during the medical training. Physicians have to acquire this knowledge privately. Their attention is called to it frequently by books written by their colleagues, for the general public. Many times a physician's interest is raised by some of his patients who have read more about it than his doctor.
For more than 40 years only one book was available for the public on hypoglycemia, but in the last six years about ten more books were published. Many articles are written in health magazines about low blood sugar. Reprints and pamphlets are available. This shows the increase of recent interest both of physicians and of patients.
There are three rapidly developing medical sciences today, and all of these are connected with the low blood sugar condition: endocrinology, biochemistry, and nutrition. When the discoveries of these fields became known to every physician they will be able to help their patients more effectively.
You can suspect low blood sugar:
If your parent suffered from diabetes or hypoglycemia.
If you are on a restricted diet because of reducing, or because of some illness.
If you are taking drugs continuously, like aspirin, barbiturates, or propanolol.
If you have peptic ulcer, or part of your stomach was removed by surgery.
If you have several of the following symptoms: These symptoms may be connected with many other diseases; therefore their presence is not a sure sign, only a possibility that you suffer from low blood sugar condition. It will help your physician if you write down your symptoms. Also record what you did or ate before the symptoms started, or before they stopped. How fast the change came? How long did it last? What is your general diet?
Time of symptoms:
Note for mothers: If you are
diabetic, or hypoglycemic, alert your doctor to this. Symptoms are more frequent in premature children. They show up in the first day in children of diabetic mothers, and in the first three days in children of hypoglycemic mothers. The symptoms may be tremor, difficulty in breathing, skin turning blue, gray skin, convulsion, coma, lethargy, irritability, refuses feeding, jerky movement of legs or arms. Quick help is important to prevent brain damage. The doctor can relieve these symptoms by glucose given intravenously, or in a bottle.
The above signs may warn you about the possibility or hypoglycemia, but are not enough to diagnose yourself of hypoglycemia and start self-treatment. This can be dangerous, because some other disease may cause these symptoms, and if you neglect its discovery, and delay its treatment you may cause irreparable damage. Rarely tumors cause hypoglycemia symptoms. Tumors have to be removed by surgery even if they are not cancerous. [Not Always True]
Therefore, the reasonable thing when you suspect hypoglycemia is to look for a physician who can properly diagnose and treat you.
But for quick first aid you should know how to avert prolonged blackouts that may cause irreparable brain damage. Signs of coming attack: clamminess, dilation of the Pupils, which is connected with increased sensitivity to light, faster pulse, shakiness, jitters. These may be followed with fainting after which confusion and disorientation may appear. To avert these or other symptoms you may eat candy, a rich dessert, or drink cola, or other sweetened fluids. But never consider these a treatment, because if you do not do something else, the symptoms will come back soon. It is much better to prevent the symptoms by eating some protein food about an hour before the symptoms usually appear, and follow the diet prescribed for low blood sugar patients, even before you can see a doctor for thorough examination.
First see your own physician. Find out if he knows enough about hypoglycemia and its treatments. Tell him your symptoms. If he refuses even to consider low blood sugar as a possibility, or if he recommends you to eat more sweets, or if he does not want you to have a five or six hour long glucose tolerance test, then you know you have to look for another doctor.
If your physician openly admits that he does not know enough about hypoglycemia, but is willing to learn about it, tell him to write to the Adrenal Metabolic Research Society of the Hypoglycemia Foundation (P. O. Box 25. Fleetwood. Mount Vernon. N. Y. 10552, or call 914-664-6450) and ask for their treatment guide: "Hypoadrenocorticism: an Endocrinologic Approach to the Etiology and Treatment of Functional Hypoglycemia" which is supplied free for physicians. Or he may recommend some of his colleagues who are experts in this question.
If you cannot find an interested and sufficiently informed physician write or call the same Society for the address of the nearest physician who is connected with them.
Patients connected with the Hypoglycemia Foundation formed Health Frontiers Foundation chapters in several states. For their addresses write to the main office: 277 West End Ave. New York. N. Y. 10023. These groups have regular meetings and publish a newsletter for members with very practical information.
Recently Hypoglycemic Anonymous groups, too, were formed. Main office: P.O. Box 1173. Palos Verdes Estates. Ca. 90274.
Alcoholics Anonymous and AI-Anon Groups start to realize the importance of this question and doctors connected with these groups are getting interested in low blood sugar treatment. Consult your local phone book for their main offices.
Schizophrenics Anonymous groups (main office: Box 913. Saskatoon. Sask., Canada) and American Schizophrenia Association chapters (main office: 56 West 45 St. Suite 805. New York. N. Y. 10036, Tel. 212-972-0705) have sufficient knowledge of hypoglycemia and are connected with physicians who can help you in regulating your low blood sugar condition.
As hypoglycemia is closely connected in most Cases with nutrition, health food stores and groups interested in nutrition may be able to help you to find a physician. The main offices: Natural Food Associates, P. O. Box 210. Atlanta. Texas 75551. National Health Federation, 211 West Colorado Blvd. Monrovia. Ca. 91016 can tell you the addresses of local chapters and their meeting times. Go there for information.
You may form a health group in your locality with other interested people and discuss this and other important health questions in your weekly or monthly meetings. This way you can help others to find doctors.
If your physician is willing to treat you, tell him before you undergo the tests that you would like to have a copy of the detailed results of your glucose tolerance test and other tests for future reference. You will need these in case you have to undergo surgery, or become pregnant, or have to change doctors. You need the exact numbers of each blood lest results, not just a general statement that the test was negative or positive.
If you have hypoglycemia your doctor may give you adrenocortical extract (ACE) injections before, during, or after surgery, or childbirth. After surgery he will use a different amount of glucose or levulose solution. He will examine your child right after his birth or possible hypoglycemic condition and treat him accordingly to avoid brain damage.
If your physician does not promise you a copy of the test results, look for another doctor who understands the importance of this request.
Diagnosing low blood sugar may look simple, but can be really difficult.
Some physicians use a questionnaire for listing the symptoms and dietary habits. It may have 300 questions that you can fill it out at home at your leisure. The doctor will ask for your family's health history and your own personal health history. He has to know your emotional life, too. He will perform a complete medical examination, to see that there are no other causes behind your symptoms. If you feel some of the symptoms during your visit, he may make a quick spot test using only one drop of blood and a special tape that gives an approximate estimate of your blood sugar level. This cannot take the place of the long lest, but is very useful for the evaluation of the present situation and to find out that your symptoms are connected with low or high blood sugar.
A five or six hour glucose tolerance test may be performed in the morning or during the afternoon. The usual diet should be followed for five to seven days before the test. Some physicians advise their patients to eat an extra amount of sweets, but this is considered a mistake by other doctors, because it can activate the symptoms and distort the tests. Tranquilizers and mega-vitamin dosages should be discontinued about a week before the test because they change the test results. No fasting is required for the afternoon test. The morning test requires 12 hours total fasting. No food or drinks should be taken, no smoking, or drugs are permitted.
At the beginning of the glucose tolerance test you will receive glucose to drink. Your blood will be examined for sugar content at the beginning of the test, after the first and second half an hour, and afterwards every hour. Blood from the fingertips is enough for the examinations and seems to be more reliable than from the veins.
Urine examination may he added to this at the same intervals.
The glucose you drank will bring up your blood sugar level in the first hour. If you do not have hypoglycemia, it will return to the 80 to 120 range in the second or third hour and will remain there. Even a 10 milligram drop below the fasting level is significant, and some authorities say even a 3 milligram drop has a profound impact on the body. If you are hypoglycemic it may vary in the degree of rising, and it will drop below 70 within a few hours, though at the end it might rise again. In the case of diabetes it will shoot up much higher, above 160 or 170, stay there longer, and return slowly towards the normal level, though it may not reach it.
During the test, every half hour, you should record how you feel. If the symptoms return while the test shows low blood sugar that proves that you me hypoglycemic. Generally the suddenness of the drop causes the symptoms, and not the depth of the level. In some cases there are no symptoms, even though the level of the blood sugar is low. In other cases, the level is "flat" and is connected with a special set of symptoms. An expert physician can tell from the curve which gland or organ is involved, the pituitary, thyroid, adrenal, liver, or pancreas.
Some physicians may first use a short test. You eat a usual breakfast in the laboratory where blood is taken before breakfast and 50 minutes after you have finished eating. If this test shows low blood sugar, the longer test is not needed, but if the short test is negative, the longer lest will be performed.
There are different methods for the long glucose tolerance test, with different standard levels. Therefore a common evaluation method cannot be given here. Neither test is absolutely correct. You may have hypoglycemia even if the glucose tolerance test does not show it but the symptoms are present.
Some physicians prefer a one-week restricted carbohydrate diet with proteins and fats only and they claim that it reveals your condition better than the long glucose tolerance test. (Martin: Low Blood Sugar 45.)
Other laboratory tests may include complete blood count; protein bound iodine test and/or T3, liver function test, tolbutamide, or leucine test, heart tests, audiometer test, Achilles Reflex test.
EXPLANATION OF HYPOGLYCEMIA
If your physician diagnosed hypoglycemia it will be useful for you to know a bit more about the origin of the low blood sugar condition and the body chemistry behind it.
Inclination to this condition can be inherited. Hypoglycemia is rarely caused by cancerous, or benevolent tumors, enlargement of the pancreas, over-sensitized pancreas, malfunctioning pituitary, adrenal or thyroid glands, deficient glucagon or enzyme production, liver or stomach troubles, menopause or congenital factors.
[glu·ca·gon n. A hormone produced by the pancreas that stimulates an increase in blood sugar levels, thus opposing the action of insulin.]
The most common causes are the different kinds of stress: physical (overwork, lack of rest, illnesses, injuries), emotional (fear, hatred. insecurity. hostility, etc.), nutritional (too much sugar and coffee, highly processed carbohydrate food from which factors needed for proper liver function are removed, nutritional imbalance), and chemical (poisons, alcohol. smoking. drugs, preservatives, sweeteners, softeners, alkalizers, acidifiers, hormones, dyes, antioxidants, hydrogenators, etc.).
Over breathing may cause hypoglycemia-like symptoms.
The different names of hypoglycemia mean either a specific case (absolute, organic, reactive, simulative, transient, tobacco, functional-hypoglycemia, hyperinsulinism, hypoadrenocorticism), or a mere resemblance (pseudohypoglycemia).
Hypoglycemia is connected with nutritional imbalances in most of the cases and treated mostly by the proper diet. Therefore it is very important to understand the sugar control of our body.
Sugar is the fuel of the body and is needed both for energy and heating. It is most important for the functioning of our brain. A prolonged lack of sugar may cause irreparable brain damage. Generally we suffer faster from lack of sugar than from the abundance of it in our blood.
Sugar is obtained from the food we eat. Every kind of food can be transformed into a special type of sugar: glucose that is carried by the blood to the different parts of the body. Some food is converted into glucose very fast (alcohol. sugars. starches), others slowly (proteins, fats). The sugar content of carbohydrates varies from 100% (white sugar) to 3%. Fruits generally contain 10 to 20% sugar, vegetables 3 to 20%. 58% of the proteins and 10% of fats can be converted into sugar.
The sugar level of the blood is maintained at the proper level by a complicated regulating mechanism of the body in which several endocrine glands and organs are involved.
If we eat too much readily convertible food, the level of the blood sugar goes up fast and activates the regulating mechanism. From the brain order goes to the pituitary thyroid and Langerhans Island glands (in the pancreas) and insulin is secreted. This helps to store the excess sugar in the liver (as glycogen) and in the muscles. The surplus is converted into fat.
When the sugar content in the blood is too low, another order goes from the brain (again through the pituitary and thyroid) to the adrenal glands, to secrete another hormone, adrenalin, which releases sugar stored in the liver. (The adrenal glands have two parts. The outer part, or cortex, produces at least 32 hormones, the inner part, or medulla, secretes adrenalin. One of the hormones is an anti-insulin factor.) If this is not enough, sugar stored in the muscles can be released. But the sugar converted into fat is not readily available. Only 10% of it can be reconverted into blood sugar.
For several reasons this regulating mechanism may go wrong and when there is too much sugar in the blood, it overdoes the secretion of insulin. Consequently the blood sugar level drops below the required one and you have hypoglycemia.
We can compare this regulating mechanism to the heat-regulating thermostat in our home. If it calls for heat but then does not stop in time, the home gets too hot (diabetes). If it fails to send the signal for more heat the house gets overcooled (hypoglycemia).
Emotions can cause trouble through the adrenal glands, especially if they are strong or continuous. Like any other stress, emotions cause the adrenals to secrete adrenalin to release more stored sugar. After the sugar reserve of the liver and the muscles are exhausted, the proper blood sugar level cannot be maintained. It drops. Deficient diet, or malfunctioning organs may cause the same result.
The solution is that instead of relying on the malfunctioning regulating mechanism, you take over the control of your blood sugar level. This can be done by eating those foods only which are either low in carbohydrates (generally not more than 15%), or are slowly converted into blood sugar (proteins and fats.) You have to eliminate both readily convertible high carbohydrate content foods and long lasting stresses.
The function of the adrenal glands may be helped by natural adrenocortical extracts (ACE) injected intravenously, or intramuscularly, or taken by mouth.
Now you can understand why it is wrong to treat low blood sugar condition by eating more candy, chocolate, sweets, desserts, or by drinking alcoholic beverages. These throw off your defective regulating mechanism even more. Coffee, tea, cola drinks (containing caffeine) and smoking interfere with the working of the adrenal glands and cause adrenalin secretion, increasing the blood sugar this way. This throws off the balancing mechanism as effectively as eating sugar. Therefore if you want to recover, you have to eliminate these, too.
The purpose of the body by raising the blood sugar level while you are smoking is to defend you from the poisoning effect of the nicotine. Heavy smoking exhausts the sugar supply of the liver, and there is no more protection against nicotine poisoning. After white sugar, nicotine is the worst offender of the normal blood sugar levels, coffee occupying the third place. (Rodale: Nicotine Poison, Stimulant. and Depressant)
The increased low blood sugar symptoms make the smoker nervous, dizzy, influence his eyesight, make driving very hazardous, and mental concentration becomes difficult. The nervous condition of the smokers definitely improves when they quit smoking.
Alcoholism is connected with low blood sugar condition in almost all of the cases, and with exhausted adrenal glands, too. This might be the physical basis of alcoholism, though in most of the cases alcoholism has an emotional factor, also, and needs both physical and emotional treatment, and even spiritual help, as the A.A. practice eminently proves. Members of A.A. are becoming more conscious of their low blood sugar condition, and their need for its treatment. Coffee drinking, sweets, and heavy smoking, generally "enjoyed" at A. A. meetings make abstinence more difficult for them and are bad substitutes for the even worse alcohol. A sweet binge can cause perfect hangover symptoms, because these are connected with hypoglycemia. (Blaine: Goodbye Allergies 67.) Alcoholics are much better helped by the proper diet prescribed for hypoglycemics and by additional vitamin and mineral supplements. (Williams: Alcoholism the Nutritional Approach)
Overreaction to alcohol with symptoms of drunkenness may be caused by low blood sugar condition even if only small amount of alcohol was consumed. Characteristic signs are: low temperature, sweating, rapid pulse, breath does not smell of liquor. Sleeping in this condition is very dangerous. Fast help is needed. As first aid give him to drink orange juice or another sweet drink. If he does not recover, or starts to pass out, call a physician who can administer intravenous glucose injection. (Weller: How to Live with Hypoglycemia 65.)
Overweight may be due to hypoglycemia.
Overweight may be due to hypoglycemia.According to a medical research 9 out of 10 overweight persons have reactive hypoglycemia. This explains their craving for food and especially for sweets. To overcome this, they have to follow the hypoglycemia diet, which will enable them to lose weight safely. Exercise also is recommended for them. (Prevention June 1968: Low Blood Sugar Causes Overweight)
Allergies disappear in some cases when hypoglycemia is treated. (Blaine: Goodbye Allergies)
Exhaustion is frequently connected with low blood sugar. (Roberts: Exhaustion)
Bad behavior in children, criminal action in adults, vandalism in teenagers may be due to hypoglycemia. (Rodale: Natural Health Sugar and the Criminal Mind.)
Marital difficulties originating from seeming laziness, luck of love, unfaithfulness, irritability, violence and other "personality changes" may be low blood sugar symptoms. Many divorces can be avoided and marriages saved. (Blaine: Goodbye Allergies 36.)
Asthma, rheumatic fever, polio, epilepsy and gastric ulcer may be connected with hypoglycemia. (Fredericks: Low Blood Sugar 48.)
But personality changes may be due to some other causes. Heavy metals, measles, virus infections, influenza, insufficient utilization of some vitamins, disturbances of the endocrine glands, multiple sclerosis, epilepsy, pernicious anemia, iron deficiency and even improper position of the teeth (malocclusion) may cause emotional symptoms. (Fredericks: Low Blood Sugar 133.)
Neurosis may remain in some cases even after their low blood sugar condition is corrected. Physical and psychological factors may also influence it, and have to be removed.
Generally the proper diet is the most important part of the treatment. Recovery depends upon it in about 90%. The advantage of this diet is that it is a healthful diet for every member of the family. Basically it is a high protein medium fat and low carbohydrate diet.
As the condition of the patient improves, the physician may allow him to eat some of the forbidden food, but he never will be advised to return to a high carbohydrate low protein and low fat diet.
Those who had mental or neurotic symptoms, epileptic-like seizures or asthma will be better if they never change the hypoglycemic diet.
Generally even those patients are helped by the hypoglycemia diet who had the symptoms, but their glucose tolerance test was normal.
It is important to eat between meals and before retiring. Some people found it helpful to eat a few pieces of nuts, or drink a little milk, or fruit juice even more frequently. This prevents slackening off of blood sugar levels. But a nutritionally oriented physician claims that his patients do not need such pampering after three or four months six at most.
Physicians differ in prescribing the diet. The same doctor, who is permissive in one point, may forbid some other foods, permitted by other physicians, like grape and prune juice. It is very helpful for the patient if he gets written dietary directions from his doctor, as verbal instructions are easily forgotten or misunderstood.
Food allergies were reduced in some cases by supplying more acid (e.g. cider vinegar) in the diet. Or by eating the offensive foods in very small amounts at the first, and then gradually increasing the amounts.
Proteins are obtained from meat, fish, eggs, cheese, milk soybean, nuts, grains and vegetables. All animal proteins are "complete" in all the essential amino acids. The best vegetable protein is soybean, which surpasses even animal proteins both in quantity and quality if it is eaten together with other vegetable proteins, especially with nuts seeds or leafy vegetables. This is the most important item for vegetarians and for those who cannot afford expensive food. Meat eaters may reduce expenses by eating more organ meat (liver, heart, kidneys, etc.) and chuck meat. Muscle meat is the most expensive and least valuable nutritionally.
Some meats are forbidden for hypoglycemics: canned meat, cold cuts, hot dogs, salami sausages, and scrapple, because these are usually preserved with some form of sugar.
Nutritionists generally do not recommend processed cheese, cottage cheese, cream cheese, and processed meat because of the chemicals in them. Other physicians do not object these.
Milk may interfere with digestion of proteins. Therefore if used at all, should be taken between meals and not during meals.
Egg yolk has to be soft to preserve its lecithin content, but egg white should be solid, because raw egg white destroys an important vitamin: biotin.
Fats are obtained from butter, margarine cream whole, milk and oils. Only cold pressed oils are recommended by nutritionists. Cottonseed oil has the best proportion of vitamin E and unsaturated fats, but may be contaminated with sprays. Those who are underweight should increase the fat content of their meals not the carbohydrate content in order to gain weight.
[NOTE: Avoid Canola Oil and products that contain it! Canola Oil is processed at VERY high temperatures and is used for transmission fluid.]
Carbohydrates are restricted to those fruits and vegetables that do not contain more than 15% of them. Fredericks recommends that carbohydrates should give only 50% of the calorie sources in the meals. He permits whole grain cereals, but other authors exclude all hot and cold cereals, except occasionally oatmeal. Ordinary breads are usually forbidden, but three slices of a special bread made of oat, Soya, high gluten and/or Jerusalem artichoke flours are permitted daily. Sugars, chocolates, candies, syrups, macaroni, noodles, bread, cakes, potato, rice, dried fruit, corn (popcorn. too) jelly, marmalade, ice cream are forbidden. Honey is forbidden by most of the physicians, but some nutritionally trained physicians permit a moderate amount of honey six months after the blood sugar condition is stabilized, or even before in small amounts if raw (not heated above 110 F.) honey is used. Tests showed that unheated honey did not harm hypoglycemics, while heated honey had the same result as white sugar. Heating changes levulose into sucrose. Dark honey contains more levulose and is preferred. Unheated honey is generally not available in grocery stores.
Similarly disputed is the question of artificial sweeteners. Some authors permit them without restriction, others reject them because their sweet taste may cause conditioned reflex reactions and disturb the regulating mechanism the same way us sugar does. Some consider artificial sweeteners potentially dangerous for health. Fredericks (Low Blood Sugar, 12) shows in a food table the sugar equivalent of different refined carbohydrate foods, to make it clear why these foods are forbidden to hypoglycemics.
In the list of permitted foods we marked with a question mark, those foods that are objectionable by some nutritionists. An 8 page Dietary Program with menu suggestions is available from the Hypoglycemia Foundation.
If you are interested in the carbohydrate, fat, protein, water, vitamin and mineral contents of foods, you will find them in the U.S.D.A. publication: Nutritive Value of Foods. It gives the recommended dietary allowance too. As both the content of foods and the daily requirement vary according to products and individual needs, you cannot rely on the average data very much, but you can use them as broad directives.
Beverages: Best beverages are the herb teas and most of the fruit and vegetable juices, especially if they are freshly pressed from organically grown produce. Decaffeinated coffee, and weak tea are generally permitted, but some patients cannot tolerate even these. Forbidden beverages: grape papaya and prune juices, alcoholic beverages, coffee, cocoa, cola, strong tea, soft drinks, Postum, and Ovaltine.
Vitamins, minerals, and enzymes are important for everybody, but especially for those who have digestive troubles and cannot assimilate them in the normal way. In this case some vitamins may be supplied by injections. As vitamins minerals and enzymes work in harmony with each other we cannot concentrate on a few of them, but need them all. If for some reason we cannot obtain them from our food, we have to take them in supplement forms.
Supplements may include vitamin B-1, B-2, B-3, B-6, B-12, (There are 24 different fractions in the B-complex family.) choline, inositol, methionine, pantothenic acid, vitamin C, Bioflavonoids, vitamin E, calcium, silicon, and other minerals, hydrochloric acid, and other enzymes.
In older persons (after 40) indigestion is frequently caused by lack of acid, not lack of alkali. This can be relieved by acetic acid (cider vinegar) or by hydrochloric acid-betaine-pepsin capsules. Bacid capsules might relieve indigestion if it is caused by lack of intestinal bacteria.
Wheat germ and brewer yeast are very good B Complex supplements. Wheat germ gets rancid easily; therefore it should be bought in vacuum jars and kept in refrigerator after opening. Roasting and high heat ruins the vitamin contents of the whole grain cereals.
The following tables give the permitted and Forbidden foods in alphabetical order.
Number after food items means carbohydrate percentage.
p proteins, * with some restrictions, ? Questionable value
In Summary: Avoid all sugars, chocolates, candies, heated honey, syrups, grain products, cereals (except oatmeal), macaroni, noodles, bread, cakes, potato, rice, dried fruit, corn (popcorn. too), jelly, manna lade, ice cream. cocoa, coffee, strong tea, alcoholic beverages, cola and soft drinks. Narcotics, stimulant, or depressant drugs. Artificial sweeteners are not recommended both for physical and psychological reasons. Better if you forget sweet things.
You can eat every kind of meat, eggs, dairy products, (except some over-processed ones), peanut butter (Made without Canola Oil), vegetables, and fruits (except those excluded). Drink decaffeinated coffee, weak tea, herb teas, and fruit juices (except those excluded). A stricter diet is used at the beginning for a few weeks by some physicians, followed by a more lenient diet.
Reducing diet may be prescribed first to overweight patients.
Adrenocortical extract (ACE) is used by some experts with excellent results. This is a natural hormone. It is either injected intravenously, or intramuscularly (made by Parke Davis, Upjohn, Wilson, Paramount Surgical Supply, Inc., Spencer-Meed), or it is given by mouth (made by Standard Process Laboratory). One intravenous dosage provides the adrenals with a four-hour rest. This process can be repeated with absolute safety. First it is given weekly for a few months, then in two- three- four-week intervals, or even less frequently. As the adrenals recover, the dose is gradually tapered off and finally is discontinued. ACE is quite expensive, but not more then hospitalization. If an expert physician prescribes the dosage, but cannot administer it, because the patient lives too far, either a nurse can do it, or the patient can learn to give intramuscular injections to himself.
Cortisone treatment is not recommended. Its continuous use makes the adrenal glands lazy and in time they atrophy. This is true for other hormones, too, if they are used in constant dosages, as e.g. thyroid extracts.
Thyroid medication is needed quite frequently for a while in treating low blood sugar.
Glucagon (an anti-insulin hormone) is used by some physicians, especially at bedtime or in the morning to increase sugar levels.
Vitamin-mineral injections may be given with ACE, especially vitamin C, B-6, B-12, and calcium. (Nittler: Hypoglycemia 10.)
Mild tranquilizers may be used to quiet down excessive emotions, which exhaust the adrenal glands. Sex hormones are useful for treating the adrenals, or the pituitary gland, especially in older people (over 40), not for rejuvenation, but for general strengthening. Salt intake is important for the adrenal glands in Addison's disease. Too much salt may cause fatigue to other people. Foods treated with monosodium glutamate, or sodium benzoate, and softened water add unnecessary salt to the diet.
MSG triples the amount of insulin the pancreas creates, producing low blood sugar !!! This causes a person to eat more and become obese !!! Hydrolyzed Vegetable Protein is another name for Monosodium Glutamate. ]
[ MSG triples the amount of insulin the pancreas creates, producing low blood sugar !!! This causes a person to eat more and become obese !!! Hydrolyzed Vegetable Protein is another name for Monosodium Glutamate. ]
Smoking has to be given up entirely in some cases called "tobacco hypoglycemia" which does not respond to diet treatment otherwise. Similarly, if the low blood sugar is caused by some drugs, (aspirin, barbiturates, propanolol, some antihistamine drugs), or alcohol, these have to be given up.
Side effects caused by detoxification may be very inconvenient for some patients, but should not frighten them. They should not discontinue treatment because of them.
Physical exercise is very important in a moderate but effective way. You may find good advice concerning that, both in Cooper's Aerobics, and in Hurdle's Low Blood Sugar.
Breathing exercises, correct work, recreational and sleeping habits, health precautions and the right mental altitudes are also important for hypoglycemia patients.
If emotional problems are rooted in the spiritual life, the help of a minister, priest, or rabbi may be needed. Everybody is advised to see his doctor once a year and have a general examination. For hypoglycemics this is even more important. Even half-yearly examinations might be recommended.
Native American Healers Stress Harmony in Treating Illness
No physician can foretell how fast the improvement will be, because individual differences are very wide. Generally more than three or four months are needed.
From birth, Victor was hyperactive. It was impossible, in the ensuing months to put him on the four-hour feeding schedule other mothers talked about. He shrieked to be fed every two hours and was seven months old before he slept through the night. He was breast-fed for a year, but after that we always had to take along a supply or food wherever we went, even for a short time. He would become suddenly irritable and food always had a salutary effect. We used to joke about having to get something to his "grump-control center".
At age three, Vidor had many illnesses, each one followed by a relapse. They were mainly respiratory viruses, or tonsillitis, but we noted that he would perspire at night for several weeks after each illness. By age four, he was perspiring heavily every night. Sometimes we had to change his pajamas when we went to bed because they were soaked. Always, we would turn his pillow over. I used a blue pillowcase on his bed, and in the morning there would be a large white salt ring on the blue pillowcase. His hair always smelled sour.
Vidor's kindergarten teacher commented frequently that although he was a bright boy, he seemed to be unable to concentrate and seemed to have a sort of daydreaming or preoccupation although he did learn. The first grade teacher reported the same.
When Victor was 6 years old, all these difficulties disappeared. We assumed that he was maturing and it had all been only a phase. We would look at other ill behaved children and say. "They'll grow out of it. Ours did." What we did not realize at the time was the connection between his behavior and the fact that my husband had me cook a high protein, low carbohydrate diet so he could lose weight. We were on the diet for about 6 months and I found it so boring to cook that when the desired weight was lost. I went back to making delicious noodle dishes and baking desserts and breads. Victor's behavior reverted to the old patterns.
As Vidor approached age 7, the problem increased in intensity. We began to discover that we could tell every time someone had given him a piece of candy, or sugared drinks, or cereals after school because he would react about an hour and a half later in an irrational, or hysterical manner. On days when he had no sugar, our dinner hours were pleasant. At this point, we talked to our pediatrician who acknowledged that some people did react in this manner toward sweets and recommended a high protein, low carbohydrate diet.
Three weeks later. Victor's first grade teacher commented that he no longer seemed tired or distracted in class and that for the first time all year he had played every day on the playground instead of sitting with her. Also, every grade on his report card improved.
We noted that within a month of going on the diet, the perspiration at night was minimal. We then began to give him Vitamin C and the perspiration stopped. Only once in the past six months has there been a salt ring on his pillowcase, and that was at a time when he had a fever.
During the past year, we maintained a very strict diet. Victor became so cooperative that he refused candy when someone offered it to him, even when we were not around. He said he felt so much better without it. Friends began to comment on his calmer attitude and the sparkle in his eyes. He became noticeably more affectionate. He frequently would sing to himself, which he did not do before. He began to concentrate on tasks whereas before we thought he had no "stick-to-itiveness". Most noteworthy of all, Victor has begun to use humor in difficult situations. In addition, Victor has had a very healthy winter.
On two occasions, we have allowed the diet to deteriorate by allowing more carbohydrates (no sugar though). Both times, there was a resultant irritability, completely relieved by returning to the stricter diet with protein snacks between meals. We note a great improvement when we keep the carbohydrates around 100 grams. Victor enjoys counting them up and it gives him a more tangible goal when he can see how they add up.
Following is the kind of diet Victor has eaten. He likes milk, but his aversion to eggs has made his diet even more restrictive since it eliminates eggs for meals.
Breakfast: Sardines, or smoked fish, Hamburger patties, Cottage cheese, Sausage (Jones Farm has no sugar), Pork or beef bacon. Cottage cheese pancakes (replace flour with Quick Oats.)
Lunch: Leftover chicken or meat, Tuna, salmon, or crab salad, Hot dogs (kosher have no sugar). Ham between cheese slices. Celery stuffed with cream cheese, or peanut butter. Besides these protein foods, he eats fruits and vegetables such as carrots, lettuce, cucumber, tomato, etc.
Dinner: Usually consists of meat, vegetable, salad and fruit.
Snacks: Cheese American slices, Swiss, or Gruyere wedges. Peanut butter lollipops (scooped on a spoon and licked off). Strawberry milkshakes (eggnog with frozen unsweetened strawberries made in a blender makes a tick "milkshake"). Nuts.
(In order of date of publication)
Body, Mind and Sugar by E. M. Abrahamson M.D. and A. W. Pezet (Holt, Rinehart, Winston, 383 Madison Ave. New York. N.Y. 10017, 1951, 1967, 206 pages, $ 3.95).
The Stress of Life, by Hans Selye, M.D. (McGraw-Hill Book Co. 330 West 42 St. New York. N. Y. 10036, 1956, 324 pages, paperback, $ 2.75).
Alcoholism The Nutritional Approach, by Roger J. Williams (University of Texas Press, Austin, 1959, 118 pages, $ 3.95).
Dr. Carlton Frederic's Low-Carbohydrate Diet, by Carlton Fredericks, PhD (Award Books, Universal Publishing and Distributing Corp. P.O. Box 2080. Dept. A129. New York. N.Y. 10017. 1965, 188 p. 95 cents.) Goodbye Allergies, by Tom R. Blaine (The Citadel Press, 222 Park Ave South New York. N. Y. 10003, 1965, 159 p. hardcover $ 4.95, paperback $ 2.00.)
Exhaustion Causes and Treatment, by Sam E. Roberts M.D. (Rodale Books Inc. Emmaus, Pa. 18049, 1967, 262 pages, $ 6.95.)
Natural Health, Sugar and the Criminal Mind, by J. I. Rodale (Pyramid Books, 444 Madison Ave. New York. N. Y. 10022, 1968, 189 pages. 95 cents.)
How to Live with Hypoglycemia, by Charles Weller. M.D. and Brian R. Boylan (Doubleday and Co. Inc. Garden City, N. Y. 1968, 130 pages, $ 4.50.)
Aerobics, by Kenneth H. Cooper, M.D. (Bantam Books Inc. 271 Madison Ave., New York, N. Y. 1968, 182 pages, $ 1.00.)
Mental Health Through Nutrition, by T. R. Blaine (The Citadel Press, 1969, 203 pages, $ 5.95.)
Hypoadrenocorticism, by J. W. Tintera, M.D. (The Hypoglycemia Foundation, P.O. Box 25, Fleetwood, Mount Vernon, N. Y. 10552, 1969, 134 pages, $ 3.95.)
Low Blood Sugar and You, by Carlton Fredericks, Ph.D. and Herman Goodman, M.D. (Constellation International, 51 Madison Ave., New York. N.Y. 1969, 190 pages, $5.95.)
Low Blood Sugar: A Doctor's Guide to its Effective Control, by J. Frank Hurdle, M.D. (Parker, West Nyack N. Y. 1970, 224 pages, $ 6.95.)
Low Blood Sugar The Hidden Menace of Hypoglycemia, by Clement G. Martin, M.D. (ARC Book. Inc., 219 Park Ave. South, New York. N.Y. 10003, 1970, 185 pages, paperback $ 1.65.)
Sugar, Sex and Sanity, by Isabelle Walsh Evans (Carlton Press. Inc., 84 Fifth Ave., New York N. Y. 10011, 1970, $ 3.95.)
Pamphlets and articles:
Pamphlets and articles:
Hypoglycemia and Me? (Hypoglycemia Foundation. P.O. Box 25, Mount Vernon, N. Y. 10552, 1970, 24 pages, $ 1.00.)
High Protein, Low Carbohydrate Dietary Program for the control of the hypoglycemia of hypoadrenocorticism. (Hypoglycemia Foundation, 1969, 8 pages, 75 cents.)
Help for Hypoglycemia, by George C. Thosteson, M.D. (P.O. Box 158, Dundee, Ill, 60118, 1969, 25 pages, 25 cents.)
Hypoglycemia, by Alan H. Nittler. M.D. (Reprint from the NHF Bulletin, April 1967, 211 West Colorado Blvd., Monrovia. Ca. 91016, 14 pages, 25 cents.)
Treatment of Ambulant Schizophrenics with Vitamin B-3 and Relative Hypoglycemic Diet, by Allan Colt. M.D. (in Journal of Schizophrenia, Vol. 1, No.3, 1967.)
Hypoglycemia: Its Wide Incidence Among Alcoholics and Schizophrenics, by Bill W. (in The Vitamin B-3 Therapy: A second communication to A.A.'s Physicians, Available for physicians from Bill W. P.O. Box 451, Bedford Hills, N.Y. 10507, 1968.)
Nicotine Poison, Stimulant and Depressant (in Smoke and Die Quit and Live (book), by J. I. Rodale, pages 81-99, Rodale Books, Inc., Emmaus, Pa. 1967, 382 pages, $ 4.95.)
Low Blood Sugar Causes Overweight (in Prevention June 1968, pages 48 to 53, Monthly magazine, 33 East Minor St., Emmaus, Pa. One year $ 5.85, copy 60 cents.)
Nutritive Value of Foods, Home and Garden Bulletin, No. 72, (U.S.D.A. from: U.S. Government Printing Office, Washington, D.C. 20402, 25 cents.)
SCHIZOPHRENIA Compiled from lectures given by Dr. A. Hoffer M.D., grouped according to the following topics: Description of schizophrenia, its diagnosis, theory, treatment with megavitamin therapy and conventional methods.
HOPE GIVING STORIES Of 15 schizophrenic patients who recovered with the help of Dr. Hoffer's megavitamin therapy, as told by Dr. Hoffer or by the patients themselves.
MEGAVITAMIN THERAPY In Orthomolecular Psychiatry. Compiled from the writings of Dr. A. Hoffer, M.D. and from the experience of other physicians who use this method in treating schizophrenics, neurotics, alcoholics, heart and arthritis patients and many other cases.
LOW BLOOD SUGAR A widespread but little understood condition that almost all of the alcoholics, and about 40% of neurotics and psychotics have and which is five to ten times more frequent than diabetes. It can cause mental confusion, exhaustion, blurred vision, black outs, or accidents. It may lead to juvenile delinquency, divorce or suicide.
If you cannot find these booklets at your retail stores, you may order them directly from the publisher.
Malnutrition and The Criminal State of Mind
Mental Health It's Not Just In Our Heads
Allergy And Alcoholic Addiction
Stress and Stress Management
The Art of Healing Ourselves
Health and Light
The Effects of Natural and Artificial Light on Man and Other Living Things.
When winter falls, many find themselves in need of more light.
Using Hydroponics to Understand the Earth's Life Processes
On the Atomic Level
Children Need More Protection From Toxins
Tommy's History of Western Technology
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The Tortoise Shell "Science of Health" Newsletter
Putting an End to Disease on Our Planet
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