Diabesity : A Doctor and Her Patients on the Front Lines of the Obesity-Diabetes Epidemic

  Author:    FRANCINE R., MD KAUFMAN, Francine R. Kaufman MD
  ISBN:    0553383795
  Sales Rank:    286052
  Published:    2006-01-31
  Publisher:    Bantam
  # Pages:    336
  Binding:    Paperback
  Avg. Rating:    5.0 based on 14 reviews
  Used Offers:    21 from $8.88
  Amazon Price:    $10.20
  (Data above last updated:  2008-10-11 00:55:06 EST)
  
  
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Diabesity : A Doctor and Her Patients on the Front Lines of the Obesity-Diabetes Epidemic
  
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.
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

                  Reader Reviews 1 - 15 of 15                 
  
  
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07-30-07 5 2\2
(Hide Review...)  Excellent information
Reviewer Permalink
My doctor recommended this book. It is excellent. Very well written and very informative. Everyone who has been diagnosed with Type II Diabetes or if you have child that runs the risk of developing diabetes needs to read this book.
(Review Data Last Updated: 2008-10-11 00:58:18 EST)
08-31-06 5 2\2
(Hide Review...)  Everybody ought to know
Reviewer Permalink
Dr. Kaufman has opened my eyes and given lots of hope to people who thought there was no way out of this horrendous cycle which eventually led to amputation and multiple declines until an early death culminated the misery. She certainly has a heart toward her fellowman to bring to light in such a way that the layman can understand the intricate workings of our bodies and how to properly take care of our health. Three cheers for her and her family and all the compassion they have shown!!! This book should be mandatory reading for all humans.
(Review Data Last Updated: 2007-07-31 00:28:13 EST)
11-22-05 1 15\38
(Hide Review...)  Misleading, low on facts and exploitive
Reviewer Permalink
This poorly written and researched book is typical of the "hype" that is continually fed to the American public -- EVERYTHING is a crisis! EVERYTHING (from terrorism to the food we eat) is an epidemic! We are bad, and we need to change our behavior -- FAST, or some terrible disaster will befall us.

If you study the history of fads in the US, you find a disturbing trend to demonize food, or to believe that if you eat a certain way (all meat, no meat, vegan, low carbs, no carbs, etc.), then all will be well...you will live forever and your life will be perfect.

There is also an alarming tendency to blame people for their own health problems. It is rare to hear anyone be so heartless and cruel as to blame someone for getting cancer, but just listen to the self-righteous lecturing when author Francine Kaufman blames the overweight for developing diabetes!

I write this as someone who has so much diabetes in her family, that almost every relative of mine has this disease...at least 90%. So I take it very seriously, read everything I can on the illness and try to live as healthy a lifestyle as I can. But -- it's still an illness. My family history shows that it is clearly HEREDITARY, and not entirely due to lifestyle. A number of my family members who became diabetic (Type 2) were NOT obese...some were slightly overweight and others actually slim.

One thing utterly ignored by this poorly researched book is that slim people can and do develope Type II diabetes, especially with age. And that the majority of overweight individuals do NOT have diabetes.

There is obviously a link between Type II diabetes and extra weight, but the most advanced research indicates that diabetes is a far more complex disease than people previously thought....the failure of the bodies complex system of managing carbs and sugars, insulin, etc. begins years before diabetes is diagnosable. I believe, along with many researchers, that it is this long period of insulin surges that causes vulnerable individuals with a genetic pre-disposition to have huge appetites and overeat, thus becoming overweight. The overweight may be a signal that something is indeed wrong metabolically with an individual, and should be managed. However, blaming the patient (i.e., he or she is a "fat pig" and needs to deny themselves every kind of good tasting food, plus do punishing excercise) is wrong and is guaranteed to fail, as is ANY medical diagnosis that is based on blame and moral judgement, instead of science.

The biggest problem fueling the "diabetes" crisis is that 45 million Americans do not have access to health insurance, and therefore, have no medical care of any kind. This means they can't have the checkups, diagnosis, insulin, diabetes monitors, etc. that are essential to treating the disease...hence, their disease goes unchecked until it becomes a life-threatening crisis. This is intolerable in a civilized nation! This is the problem we need to be addressing, not blaming people and trying to shame them for having an illness.

I am heartily sick and tired of this kind of book, which exploits the sick and suffering of human beings, just to sell copies and comes up with "cute" names like "Diabesity" to describe serious medical conditions.

If you are interested in genuine diabetes research on the cutting edge, or having serious concerns about yourself or a family member in this regard, please read some better researched and less commercial books on this subject.
(Review Data Last Updated: 2007-07-13 00:26:45 EST)
11-21-05 1 11\30
(Hide Review...)  Misleading, low on facts and exploitive
Reviewer Permalink
This poorly written and researched book is typical of the "hype" that is continually fed to the American public -- EVERYTHING is a crisis! EVERYTHING (from terrorism to the food we eat) is an epidemic! We are bad, and we need to change our behavior -- FAST, or some terrible disaster will befall us.

If you study the history of fads in the US, you find a disturbing trend to demonize food, or to believe that if you eat a certain way (all meat, no meat, vegan, low carbs, no carbs, etc.), then all will be well...you will live forever and your life will be perfect.

There is also an alarming tendency to blame people for their own health problems. It is rare to hear anyone be so heartless and cruel as to blame someone for getting cancer, but just listen to the self-righteous lecturing when author Francine Kaufman blames the overweight for developing diabetes!

I write this as someone who has so much diabetes in her family, that almost every relative of mine has this disease...at least 90%. So I take it very seriously, read everything I can on the illness and try to live as healthy a lifestyle as I can. But -- it's still an illness. My family history shows that it is clearly HEREDITARY, and not entirely due to lifestyle. A number of my family members who became diabetic (Type 2) were NOT obese...some were slightly overweight and others actually slim.

One thing utterly ignored by this poorly researched book is that slim people can and do develope Type II diabetes, especially with age. And that the majority of overweight individuals do NOT have diabetes.

There is obviously a link between Type II diabetes and extra weight, but the most advanced research indicates that diabetes is a far more complex disease than people previously thought....the failure of the bodies complex system of managing carbs and sugars, insulin, etc. begins years before diabetes is diagnosable. I believe, along with many researchers, that it is this long period of insulin surges that causes vulnerable individuals with a genetic pre-disposition to have huge appetites and overeat, thus becoming overweight. The overweight may be a signal that something is indeed wrong metabolically with an individual, and should be managed. However, blaming the patient (i.e., he or she is a "fat pig" and needs to deny themselves every kind of good tasting food, plus do punishing excercise) is wrong and is guaranteed to fail, as is ANY medical diagnosis that is based on blame and moral judgement, instead of science.

The biggest problem fueling the "diabetes" crisis is that 45 million Americans do not have access to health insurance, and therefore, have no medical care of any kind. This means they can't have the checkups, diagnosis, insulin, diabetes monitors, etc. that are essential to treating the disease...hence, their disease goes unchecked until it becomes a life-threatening crisis. This is intolerable in a civilized nation! This is the problem we need to be addressing, not blaming people and trying to shame them for having an illness.

I am heartily sick and tired of this kind of book, which exploits the sick and suffering of human beings, just to sell copies and comes up with "cute" names like "Diabesity" to describe serious medical conditions.

If you are interested in genuine diabetes research on the cutting edge, or having serious concerns about yourself or a family member in this regard, please read some better researched and less commercial books on this subject.
(Review Data Last Updated: 2006-09-01 00:30:37 EST)
09-22-05 5 13\14
(Hide Review...)  It will scare the French fries right out of you...
Reviewer Permalink
Two months ago I was told by my doc that a recent blood test showed me to be on the edge of diabetes. He suggested that I give up red meat, egg yolks, fried foods and dairy products, and eat more fruits, vegetables and salads, using soy milk for protein, etc. I did so, and last week my test results showed a retreat from the danger zone for blood sugar, and a loss of eight pounds. So I've been told to stay the course with the new eating and add some exercise. I am 60, only five-foot-seven, and weighed 240 pounds when the bad blood was sucked from my arm on June 28th. Although I am in no danger of needing insulin injections soon, as an obese white male of a certain age and sedentary habits, I am at high risk for this terrible disease of diabetes. So I got this book. It is frightening, but well-written, and well-documented, by an M.D. who really knows her stuff. After reading it, I am more afraid for my wife, adult children, and teenage daughter than for myself. If you want a book that might really push you into better eating and more activity by explaining the realities of living with diabetes, get this one.
(Review Data Last Updated: 2007-07-13 00:26:45 EST)
09-21-05 5 8\8
(Hide Review...)  It will scare the French fries right out of you...
Reviewer Permalink
Two months ago I was told by my doc that a recent blood test showed me to be on the edge of diabetes. He suggested that I give up red meat, egg yolks, fried foods and dairy products, and eat more fruits, vegetables and salads, using soy milk for protein, etc. I did so, and last week my test results showed a retreat from the danger zone for blood sugar, and a loss of eight pounds. So I've been told to stay the course with the new eating and add some exercise. I am 60, only five-foot-seven, and weighed 240 pounds when the bad blood was sucked from my arm on June 28th. Although I am in no danger of needing insulin injections soon, as an obese white male of a certain age and sedentary habits, I am at high risk for this terrible disease of diabetes. So I got this book. It is frightening, but well-written, and well-documented, by an M.D. who really knows her stuff. After reading it, I am more afraid for my wife, adult children, and teenage daughter than for myself. If you want a book that might really push you into better eating and more activity by explaining the realities of living with diabetes, get this one.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
08-07-05 5 2\2
(Hide Review...)  Chapters outline the condition and use patient stories to explain consequences
Reviewer Permalink
There's a firm connection between obesity and diabetes resulting in the current epidemic levels of diabetes in America, and Dr. Kaufman, as past president of the American Diabetes Association, is in the perfect position to identify and comment upon this connection in Diabesity: The Obesity-Diabetes Epidemic That Threatens America--And What We Must Do To Stop It. Dr. Kaufman sees vastly overweight children and dangerous new connections between obesity and Type 2 diabetes: chapters outline the condition and use patient stories to explain consequences.
(Review Data Last Updated: 2007-07-13 00:26:45 EST)
06-22-05 5 11\11
(Hide Review...)  It's high time we declared war on diabesity!!!!
Reviewer Permalink
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" 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.
(Review Data Last Updated: 2007-07-13 00:26:45 EST)
06-21-05 5 7\7
(Hide Review...)  It's high time we declared war on diabesity!!!!
Reviewer Permalink
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" 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.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
04-17-05 5 8\8
(Hide Review...)  Diabetes and obesity: I finally get it
Reviewer Permalink
My mother died from complications of diabetes. I have been told I have insulin resistance. Yet, I never really got what that all means until I read this book. Dr. Kaufman does an excellent job of describing the disease and its various components. Furthermore, she illustrates how the disease is growing by a combination of our genetic programming and our increasingly unhealthy lifestyles. I took away a real sense of the impact diabesity is having on our communities. If you have any concern about your own health, the health of children or even the future of our country, you owe it to yourself to read Diabesity.
(Review Data Last Updated: 2007-07-13 00:26:45 EST)
04-12-05 5 7\8
(Hide Review...)  This book is a must-read
Reviewer Permalink
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.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
03-14-05 5 7\8
(Hide Review...)  Corporate Vice President - Healthcare (Fortune 500 company)
Reviewer Permalink
Read every page of this dynamic, well written, thought (and action) provoking book, BUT read and read again, the final chapter, A Choice of Futures. Allow your mind, heart and soul the propert time to digest Dr. Kaufman's hopes and dreams for a future. Diabesity gives us history, testimony, the challenges, solutions and hope for a nation, a world, who suffers needlessly with Diabetes and Obesity. Regardless of expertise or level of knowledge, Dr. Kaufmans style will allow for every reader to be engaged and inspired.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
03-05-05 5 6\7
(Hide Review...)  Call to Action
Reviewer Permalink
Francine Kaufman writes an eye-opening account of the diabesity epidemic in the U.S. and throughout the world. She relates personal experiences with patients, family and friends combined with interesting historical and medical information in a down-to-earth, readable format. As the mother of a child with diabetes, this book is an indispensable tool and I recommend it to anyone whose life has been touched by diabetes. Read it now, while there's still time to adapt your family's lifestyle to avoid this dreaded disease.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
03-05-05 5 4\5
(Hide Review...)  a very readible and important book
Reviewer Permalink
A great book which is a must read for everyone. Tells us all what we must do to reverse the major killer in our country... obesity and diabetes. The stories about patients really make the message readible and easy to grasp.

thanks Dr. Kaufman.... you will save lives.

(Review Data Last Updated: 2006-07-02 18:53:10 EST)
03-02-05 5 5\6
(Hide Review...)  A Must Read
Reviewer Permalink
Motivational, inspirational, a fabulous, can't-put-it-down read.
Share it with everyone you love and care about- help them to stay healthy.
(Review Data Last Updated: 2006-07-02 18:53:10 EST)
  
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