by Ruth Mencl, MN, RN, CDE
Note: This issue, our Voice reviewer got
some help from fellow diabetes professional Barbara Simpson, RD, CDE.
THE SECRETS OF LIVING AND LOVING WITH DIABETES
by Janis Roszler, RD, CDE, LD/N, William H. Polonsky, PHD, CDE, and Steven V. Edelman, MD
(Surrey Books, 2004, Chicago)
The Secrets of Living and Loving with Diabetes is a look at diabetes from a unique perspective. This book addresses not only the person with diabetes and their world, but the world of the significant other. The humorous approach employed throughout the book adds a light but sensitive tone to its focus on the aspects of diabetes that can make life difficult.
The authors employ a variety of written exercises throughout the book to engage the reader and promote thoughtful reflection, not only about his own issues but how those same issues affect those around him. These exercises are easy to follow and allow the reader to address the current topic of choice on his own time schedule. Topics such as nagging by the significant other and worrying about a family member with diabetes are covered.
Serious information about effective ways to deal with insulin overdoses and hypoglycemia is also included. Sexual issues and intimacy, from both partners' point of view, are frankly explored. A rare look at "diabetes etiquette" discusses worrisome issues like telling others about one's diabetes diagnosis, or injecting insulin in front of a new restaurant companion.
The information included in the book is very informative. The authors open the door to discussion about challenging issues facing people with diabetes. I would recommend this book for a fresh look at daily diabetes concerns from the viewpoint of three longstanding experts. It is available for $13.57 at Amazon.com and $19.95 from Barnes and Noble.
PREDIABETES: WHAT YOU NEED TO KNOW TO KEEP DIABETES AWAY
by Gretchen Becker and Allison Goldfine
(Marlowe, 2004, NY)
This article was reviewed by Barbara Simpson, RD CDE
This book is written in a very easy to read format, with short chapters and immediately pertinent topics. Each chapter brings something new to the table and keeps the reader interested. Author Gretchen Becker does a nice job of citing sound, published research, to back up her suggestions for making lifestyle changes. The book includes helpful drawings and graphs to provide a more visual description.
Gretchen Becker, who has diabetes herself, personalizes her step by step instructions. For example, she starts out with a bang in the first chapter, titled "Take this seriously."
I had my husband read this book; he is not in the medical profession, and he enjoyed it. I specifically asked him what he thought about the nutrition advice. One message he received he found a bit confusing: Eat a low-carb diet. Of course, reducing carbohydrates, especially sugar and processed starches, is an important part of the plan for reducing risk of diabetes. The term: "low carb" can be confusing, however, in the light of recent diet fads, and it may send a message that someone should eliminate carbohydrates from their diet. This would be an error, as most authorities recommend 40-45 percent of calories be from carbohydrate. This is not "low carb" as we have been sold it. A better term would be controlled or reduced carbohydrate, especially as there is an emphasis on choosing quality carbohydrates. Research has shown that populations who eat whole grains are less likely to develop obesity and heart disease. This has been a tough subject for many health professionals.
In wrapping up, she emphasizes family inclusion as part of the plan and adds a flare of humor to a very scary subject. The list price of this book is $ 14.95 at Barnes and Noble and Amazon.com. You may be able to purchase it used for $10.17 on their websites.
THINK LIKE A PANCREAS: A PRACTICAL GUIDE TO MANAGING DIABETES WITH INSULIN
by Gary Scheiner, MS, CDE
(Marlowe, 2004, New York)
In Think Like a Pancreas, Gary Scheiner, a certified diabetes educator, walks the walk and talks the talk of mimicking the organ's finer functions. His use of humor and practical approach make this complex topic an interesting read. This book, definitely beyond a beginner's scope, is aimed at the person who has mastered the basics of diabetes and is ready to fine tune their control. It is most pertinent for the person with type 1 diabetes or the insulin-treated type 2 patient, although it has valuable tips for any diabetes patient concerned about glucose management.
Gary's approach is organized and systematic. His explanation of various formulas helps to demystify the complexities of insulin and glucose regulation. His examples are practical -- and make the formulas easier to understand, making the book an excellent resource for diabetes educators, nurse practitioners, and physicians. He uses graphics effectively throughout the book, and covers numerous other topics that affect blood sugar levels in daily living. Gary's own experiences make this information more meaningful and insightful.
The author does use an older version of the A1c scale, comparing the A1c test level to the average glucose. The reader should be aware there is a newer version. Another controversial area of increased interest is the glycemic index (GI), which he describes in several sections of the book. Different schools of thought place more emphasis than others on the importance of this concept. The educated patient should be aware of the general theory and how it might contribute to greater understanding of blood sugar control.
The author's experience of living almost 20 years with diabetes and working with top health professionals in the diabetes field gives him unique insights into the functions of the pancreas. This is definitely a worthwhile read for patients and professionals who want enhanced knowledge, in order to truly "think like a pancreas." It is available for $10.85 at Amazon.com and $14.95 at Barnes and Noble.