• George Elder

Learning can be slow in Medicine

Updated: Jan 12


In 1847, Ignaz Semmelweis , a young doctor working in Austria noticed that more young women were dying after childbirth in the hospital division where autopsies were also also performed, compared with the division where only midwives assisted birthing. This was before people understood about microbes and hand-washing was not common practice.


After a close friends death from a scalpel wound, Semmelweis discovered that diseases were being transmitted on doctors hands, from the autopsies, to the young birthing mothers. Hand washing was implemented and the death rate plummeted. However the obstetrics head doctor refused to accept the practice and Semmelweis contract was not extended. He was persecuted and eventually died in an asylum.


This is an appalling but true story, the details of which have been used as a basis for the fictional book “Unclean Hands” by Andrew Schafer. A true book about this, Titled “The Doctors’ Plague” has been written by Sherwin B. Nuland. It took at least 10 years after this for hand-washing became an accepted practice in medicine.



Would you be astonished to discover that this horrifying situation has not improved much. Let’s take a look at how our treatment for Type-2 Diabetes reveals this continuing problem.


Type 2 Diabetes is a disease which many doctors have come to believe is progressive and unable to be reversed. I understand this is what is taught at medical school.


The reality is that the most common cause of this disease is a normal reaction of the human body to continuous excess levels of sugar/glucose in the blood which is usually caused by too much sugar and starches (carbohydrates) in the diet over many years.


Does a days eating often look like this?


Breakfast: - cereals, bread, bagels, toast, fruit juice.

Snack: - cookie, bagel, muffin, fruit, soda, pastry, corn chips.

Lunch: - sandwich, bread, pasta, rolls, fruit, cakes.

Dinner: - pizza, potatoes, fries, pasta, rice, bread, sweet deserts, beer, burgers.

Supper: - muffin, cookie, sweet biscuit, chocolate.


Every single item in the above diet is producing sugar/glucose in the body. Is every celebration accompanied by copious quantities of sugar based treats? Are rewards and treats usually sugar based? Some people don’t realize that carbohydrates, except fiber, convert to sugar immediately you eat them.


The safe non-toxic level of sugar/glucose in your blood is only about 1 teaspoon. After you have used some for energy, if the level is still higher than 1 teaspoon, the body has to reduce it urgently by releasing insulin which signals to muscles and the liver to manage the glucose out of the blood to get this toxic sugar level back down. To do this your body either converts the glucose to glycogen for storage in muscles or into fat for storage in the liver or in fat cells.


If your sugar and therefore your insulin is continuously elevated, then over time, your body becomes resistant to this and as a result the level of insulin required to manage the glucose down becomes higher and higher. Eventually it becomes so high that your body can not make sufficient and you are classified as a Type-2 diabetic.


Some say that Type-2 Diabetes is not a disease at all. It is the result of your body’s normal reaction to continuous high levels of blood glucose. Many doctors, instead of working with the patient to get their glucose levels down, prescribe medications including artificial insulin to push the insulin even higher to signal the liver and muscles to pull out that glucose.


Unfortunately high insulin levels are also very toxic and “insulin resistance” is now recognized as a cause of many diseases, including promoting obesity, PCOS, kidney disease, fatty liver, blindness heart disease, and nerve damage which can often resulting in limb amputation.


Research over many years has shown that this disease can often be reversed by reducing the level of carbohydrates in your diet. The process takes time and needs to be managed carefully in the first few weeks in order to manage sugar levels in the blood, as your body becomes adapted to the changes. The changes can be so immediate that sometimes injected insulin levels must be reduced within hours.


Some doctors are now treating their Type-2 Diabetes and pre-diabetes patients with low carb diets and having amazing success reversing this “disease”. In USA, Virta Health ( https://www.virtahealth.com) is treating hundreds of patients remotely using low carb diet approaches. In UK, Dr David Unwin and in New Zealand Dr. Glenn Davies are having success with the same approach. Dr Bhakti Paul MD in NC USA has a great interview on YouTube (https://youtu.be/3suCjlPfkgw) describing how she treats her Type-2 diabetic patients this way.


Other doctors, researchers and nutritionists have been persecuted for advising patients of these low carbohydrate dietary approaches. Dr. Gary Fettke, an Australia Orthopedic Surgeon was censured and barred from delivering nutrition guidance to patients after he objected to the high carbohydrate meals being given to his patients in hospital. This restriction has now been lifted. Dr. Tim Noakes in South Africa, had to fight a court battle for over 3 years for retention of his license to practice medicine, because of complaints about his low carb nutrition advice to patients. Maryanne Demasi a medical reporter and investigative journalist was persecuted for a report on Low Carb diets on the ABC in Australia.


I have come to understand that many everyday doctors or GP’s working in clinics are unable to put patients on low carb diets because this is not supported by the “standard of care” they are required to operate within. Unfortunately this can mean that their Type-2 diabetic patients may not be getting the best care possible and are forced to accept supplementary insulin in order to manage their diabetes. Suicide is extremely high amongst doctors and this type of problem may be exacerbating their stress. Those doctors and nutritionists trying to implement new practices are often unreasonably restrained by tradition.


The modern management of diabetes reversal is initially very critical and some doctors are now finding that fitting CGM’s (Continuous Glucose Monitors) to their patients with a real time link between the patient and the doctor is allowing for very precise management of this critical period of recovery and the beginning of remission.


Dr. Bhakti Paul In conjunction with the website DietDoctor.com have produced a very good overview for doctors about her successful approach to reversing diabetes using this approach. Take a look here on YouTube at: https://youtu.be/3suCjlPfkgw


As always, for health advice and comment check out my blog or find links to my book at: www.takebackyrhealth.com


Regards George Elder



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