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Diabesity: A Doctor and Her Patients on the Front Lines of the Obesity-Diabetes Epidemic, by Francine R. Kaufman MD
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Experts now predict that more than one-third of American children born in 2000 will develop diabetes in their lifetime. Written by one of the world’s leading authorities on the link between obesity and diabetes, this passionate, frightening–but ultimately hopeful–book points the way to a solution.
To enter Dr. Francine Kaufman’s clinic is to see the future of America: a 220-pound twelve-year-old boy…a 267-pound thirteen-year-old girl…their concerned but equally overweight parents…the human faces and human suffering behind the epidemic of type 2 diabetes that threatens to overwhelm our health care system. Once a disease of the elderly, type 2 diabetes now strikes adults in their prime–and, increasingly, children. It has nearly doubled in the last decade. The cause? Our soaring rates of obesity.
Diabesity takes us to the front lines of the fight against this preventable but deadly disease. Through vivid patient stories, it explains how excess weight destroys the body’s ability to process sugar properly–with life-threatening consequences. It shows what happens when the genes that evolved to protect us from famine collide with a sedentary lifestyle that has put bacon cheeseburgers on every corner. And it demonstrates why our usual blame-the-victim response is futile in face of the complex, worldwide forces behind this epidemic.
Detailing the tools for change at every level–from families to school systems to government–and reporting on innovative programs that are already making a difference, Diabesity offers a compelling action plan for winning this battle.
From the Hardcover edition.
- Sales Rank: #834776 in Books
- Brand: Kaufman, Francine Ratner, M.D.
- Published on: 2006-01-31
- Released on: 2006-01-31
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x .70" w x 6.10" l, 1.02 pounds
- Binding: Paperback
- 336 pages
Amazon.com Review
Just as Fast Food Nation appalled thousands of readers into boycotting McDonalds and its ilk, one can hope that Diabesity might galvanize the public to help prevent a mind-bogglingly huge epidemic from snowballing. Type II diabetes used to be a disease of the elderly; in 1997, the American Diabetes Association decided to do away with the term "adult-onset diabetes," as it increasingly appeared in middle-aged patients, young adults, and teens. It's now appearing in obese children, and affects nearly 10 percent of the American population;[p. 13] what's most unbelievable is that its prevalence nearly doubled between 1990 and 2002, and shows no signs of abating, as every overweight American--that's 64 percent of the population--is at elevated risk.
Diabesity will likely petrify anyone recently diagnosed with diabetes into scrupulously monitoring their blood-sugar level, with frightening stories of blindness, heart attacks, kidney failure, gangrene, impotence in males, and infertility in females, and other side effects from diabetics' elevated blood sugar. Dr. Kaufman gets a little full of herself when she describes audiences—from school boards to World Health Organization assemblies—going wild after her speeches on diabetes. But as a pediatric endocrinologist since the 1970s, she's seen first-hand the rise of the diabetes epidemic, with comatose children appearing in her Los Angeles emergency room with blood-sugar levels 10 times what's considered healthy, so high that they can't be read with present-day equipment.
Curiously absent in Diabesity is any mention of the potential link between infant formula and the later development of diabetes. But Kaufman wins points for chronicling the fight to have L.A. ban soda sales in the schools. ("Sodas are the leading source of added sugar in children's diets.") Her descriptions of the cultural and economic differences among the diabetes epidemics in China, India, and Ecuador are also intriguing. The book should be considered essential for parents, teachers, and day-care providers; it's grim reading, but that's a small sacrifice compared to a life being cut short 20 years by a largely preventable disease. --Erica Jorgensen
From Publishers Weekly
Kaufman explains the severity of the obesity/diabetes epidemic this way: "our ancient genes and our modern environment have collided," and so many adults and children are now being diagnosed with the disease that it "imperils human existence as we now know it." The author, who recently served as president of the American Diabetes Association and was instrumental in banning the sale of soda in Los Angeles schools, notes that the sharp increase in the number of diabetics in the U.S. mirrors the increased incidence of obesity (hence the word "diabesity," first used by health journalists in the late 1990s). Her first-rate, important book discusses the diagnosis of diabetes and its subsequent sequelae, the world history of both diabetes and obesity, and, most importantly, what must be done to fix the problem. Not so much a how-to for patients as a call to arms for policy makers and those in the health-care industry, the book intersperses riveting case studies that serve to accentuate the importance of "creating a new normal" mode of behavior in American culture—one that includes eating intelligently and exercising diligently. Kaufman has taken on a difficult topic, but her text is easy to understand and will be useful to many.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Using figures demonstrating increased incidence of diabetes in the last decade, pediatric endocrinologist and former American Diabetes Association president Kaufman does the math and predicts that, unless drastic measures are taken, by 2020 there will have been a 72 percent increase in the number of diabetics in America. Thus she lays the groundwork for a serious attack on what she defines as the root of the problem, obesity. She relays incidents from her family's history--one of her grandmothers was a Type II diabetic--along with a wealth of information about the causes, signs, symptoms, and treatment of both types of diabetes. She briefly outlines the natural history of human biology that has eventuated in conditions perfect for obesity, and she explores the many pleasures of highly industrialized societies that encourage and exacerbate it. Laying blame on no single perp--though she takes the fast-food industry to task--Kaufman proposes a multipronged approach to heading off what she feels certain will become a public-health disaster. Donna Chavez
Copyright © American Library Association. All rights reserved
Most helpful customer reviews
0 of 0 people found the following review helpful.
... to learn more about my condition but would also recommend anyone read this to learn the life story of ...
By Denise Southard
I bought this to learn more about my condition but would also recommend anyone read this to learn the life story of this wonderful doctor as well
as learning about diabetes. So well written that I had trouble putting it down.
12 of 14 people found the following review helpful.
This book is a must-read
By KYM
If anyone knows the tremendous toll diabetes and obesity have taken on the lives of millions of adults--and increasingly children--who have become affected by diabetes, that would be Dr Francine Kaufman. She has tirelessly dedicated her life to advocating on behalf of patients with diabetes, making sure they have the best medical treatment available, researching possible cures, and trying to prevent the diabesity epidemic.
This is a book that everyone should read because diabetes is a disease that affects everyone. There are currently over 18 million diabetics in this country: chances are, either you or someone you love has diabetes. A 2000 study estimated that roughly 1 in 3 children will develop diabetes in their lifetimes: that could be your child if you don't read this book and learn how to stop the epidemic.
When I was a child, I had the privilege of going to see Dr Kaufman for my diabetes care for 15 years. Now she has distilled all the insights gleaned from her many years of clinical practice and research into one highly readable, gripping, informative book. This book shows us that we can halt the epidemic if--but only if--we really make it a priority.
25 of 25 people found the following review helpful.
It's high time we declared war on diabesity!!!!
By Paul Tognetti
This is about the personal battle each and every one of us must wage with ourselves on a daily basis. Should I start my day with my favorite donut and a large cup of coffee? Do I see realize the importance of consuming at least 5 servings of fresh fruits and vegetables every day? Do I take the elevator or climb the stairs at work? Will I make time for exercise a priority? In her new book "Diabesity: The Obesity-Diabetes Epidemic That Threatens America--And What We Must Do To Stop It" author Francine Kaufman M.D, a past president of the American Diabetes Association, points out that these are among the dozens of choices each of us must make on a daily basis. She wrote "Diabesity" to present us with the cold hard facts about diabetes. It is not a pretty picture. Perhaps she will convince some of us to change our ways. She makes many simple and practical suggestions in this book. For me, the thought of possibly having to cope with this disease on a daily basis for the rest of my life is quite sombering indeed. What is even more alarming is that both of my fathers parents were afflicted with diabetes in their older years. Dr. Kaufman has gotten my attention!
But "Diabesity" is also a book about public policy. How is it that we have allowed our schools to be infiltrated by giant corporations who peddle their soft drinks and fast foods to our young people. As Dr. Kaufman points out, the National School Lunch Program, which was established in the 1950's to provide nutritious meals at a low subsidized price, has been to varying degrees augmented and in many cases supplanted by what are termed "competitive foods". I had never heard the term. "Competitive foods" compete with USDA meals and are sold at the snack line in the cafeteria and in innumerable vending machines at the schools. You might have guessed that what is being sold here is soda, snack cakes, chips, hot dogs, french fries and pizza. You get the picture. It is an outrage. Happily, as Dr. Kaufman points out, some enlightened school districts have begun to fight back. "Diabesity" also delves into a number of other public policy questions that I can report make for extremely informative reading.
Finally, Dr. Kaufman has used the pages of her book to introduce us to some of the diabetes patients she has treated over the years. She has been able to help a good many of them and has had the satisfaction of seeing many go on to lead nearly normal lives. But then there are those who she was not able to help. Dr. Kaufman allows the reader to share in a very personal way her frustrations and her sadness. It is compelling reading.
"Diabesity" will enlighten you about the realities of diabetes. It is a book that just might change your life. It was not a book I was anxious to read but one that I felt was important to read. Highly recommended.
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