The Most Important 60 Days of Your Pregnancy: Prevent Your Child from Developing Diabetes and Obesity Later in Life
By Pierre Dukan
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About this ebook
A healthy diet is important every day of pregnancy. However, new research shows that what you eat during months four and five is most critical. Making smart food choices during that 60-day window, when your baby’s organs are at a vital stage of development, will help protect his or her long-term health.
In this groundbreaking book, Dr. Pierre Dukan uses the latest discoveries in epigenetics and embryology to create a diet and lifestyle plan that will improve your personal health while helping your child avoid obesity and diabetes later in life. The easy-to-follow program includes:
• 60-day action plan
• 5-step daily diet
• 24 delicious foods to eat freely
• 8 foods that must be eliminated
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The Most Important 60 Days of Your Pregnancy - Pierre Dukan
Introduction
I’ve worked as a general practitioner for over 40 years and have seen many diet programs come and go. Now, after years of research, I’ve developed new nutritional guidelines that will produce real and meaningful results. It is my deepest hope that the information found in this book will help stop the spread of excess weight, obesity, and diabetes—conditions that are at epidemic levels.
My goal is to draw attention to a fact that is all too often covered up or ignored. Humanity today and the generations that will follow face a grave threat. Global statistics show that this danger has now been in our midst for two generations. In the post-war years, people that were considered overweight numbered in the hundreds of millions; since then, the number has skyrocketed to two billion.
The crisis of excess weight, obesity, and diabetes has long been treated as a somewhat trivial issue. This has been due, at times, to short-sightedness, and at other times, to complicity. But we now know that weight problems impair or adversely affect the life and well-being of one out of two adults in the West, directly or indirectly leading to the deaths of 75 million people.
The Most Important 60 Days
In this book, I pay close attention to nutrition in the final six months of pregnancy, with a special focus on the fourth and fifth months—60 important days—wherein the baby’s pancreas develops and begins secreting insulin. During this time, when she is influenced by maternal hormones and senses instinctively what might pose a risk to her baby, a pregnant woman is capable of choosing to change her status from consumer
to mother.
The information I’ve laid out in this book appeals to a pregnant woman’s common sense and maternal instincts and allows her to do the following:
•Understand that what she eats during pregnancy can radically change the life of her child, and make decisions accordingly.
•Understand and accept that many of the foods she now consumes are tolerable for her but may not be tolerable to her unborn child.
In response to my recommendation to follow this plan, one of my patients responded with a wonderful crystallization of my thoughts: Basically,
she said, you’re asking me to eat for six months the way people ate in my grandmother’s time.
It’s well worth considering that in your grandmother’s time, the abundance of mass-produced breads and industrially processed foods so popular today were not available. By processed, I mean industrially produced—refined, altered, and stripped of their fiber. Specifically, I mean white sugar extracted from red beets, and genetically modified white flour; both are nutritional wastelands.
My goal can be boiled down to this: I want to convince you to eat the way people ate only two generations ago. And I particularly want you to do so during the fourth and fifth months of your pregnancy—the most decisive months for the development of the pancreas of the child you’re carrying.
How this Program Began
I began my medical studies in a period when, to the dismay of health and medical institutions, the number of overweight persons in France reached one million. At the end of my 10 years of medical studies, I became extremely frustrated as I discovered that the dogma focused on calories was proving very ineffective for those who want to lose weight.
I watched the crisis turn into an epidemic. The numbers continued to rise with dizzying speed: 27 million French citizens were overweight. The phenomenon seemed universal, borderless. As I watched the developments closely, I was struck by a number of points that I observed but couldn’t yet understand.
1. In the space of 30 years, from 1970 to 2000, the average birth weight of infants in the West underwent a startling increase.
In 1970, the average birth weight was 6.6 pounds; by 2000, the number had risen to 7.7 pounds. This neared the limit for what was considered overweight. Today, however, 7.7 pounds is the norm, and only an infant of 8.8 pounds or more is considered a big baby.
What explains this significant increase in birth weight? We know that the fetus lives a completely passive life, depending solely on food from the mother. Scientifically and logically, then, the only possible explanation is a substantial change in maternal nutrition, on a global scale. Pregnant women are actually eating less than they did in the past; but, they are eating differently. Along with the rest of the population, their diet has been overtaken by an entirely new category of foods. This category consists of foods that have been industrially transformed, processed, concentrated, and refined, becoming what I will call invasive carbohydrates. The term is meant to emphasize the lightning speed with which these carbohydrates are digested and assimilated.
2. The overweight population has grown with alarming speed.
After starting slowly in the 1950s, the problem accelerated drastically in the 1970s, affecting one quarter of the world’s population in just 20 years. In my mind, there was no way such a progression could be explained by overeating and sedentary lifestyles alone.
3. Type 2 diabetes began to make an appearance in children and adolescents, a condition that previously affected only adults.
This aberrant phenomenon is strongest in developing countries, where food cultures have changed radically. Diabetes rates for children in China are four times higher than diabetes rates for children in the US. These rates mirror a sharp rise in obesity, which is affecting children at a younger and younger age. Who do we blame for the fact that one in six children is obese, or for the fact that the signs of this obesity can already be detected at the age of two or three? Accusing children at that age of overconsumption or inactivity would be nonsensical.
4. The prevalence of gestational diabetes has increased.
Gestational diabetes is diabetes that appears during a pregnancy, typically during the last trimester. We know that hormones secreted naturally by the placenta make insulin less effective; this is known as insulin resistance. This forces the pancreas to secrete more insulin for protection. The exertion can exhaust the pancreas and induce temporary diabetes.
In evolutionary terms, this phenomenon, related to fat storage, probably represented an advantage, offering protection for pregnancy during times of scarcity. But the flood of invasive and highly processed sugars in the modern diet (and therefore in the diet of pregnant women) exceeds the abilities of the pancreas to control blood sugar levels.
This is evidenced by the fact that the number of women affected by gestational diabetes varies according to country and culture. For instance, the prevalence of the condition in France today ranges from 6 to 10 percent; in the US, however, where sugar is consumed in higher proportions, it can be as high as 18 percent. The many consequences of gestational diabetes include the risk of the child being born larger than is optimal, being more likely to become obese at the start of adulthood, and more easily developing glucose intolerance, which can develop into diabetes.
5. The concept of diabesity
—a combination of diabetes and obesity—emerged.
These two conditions were long considered distinct, until a common cause was finally discovered: extra insulin produced by the pancreas to deal with the onslaught of invasive sugars.
I found these five points perplexing. They seemed to be linked, but the relation between them was a mystery. This mystery troubled me for a long time. I needed to find the connection between them. The opportunity came when I transferred my patients’ files to a digital format. The change made it possible to compare their data more extensively and in much greater detail.
Exploring the new database, I discovered a link between my patients’ dietary choices during pregnancy and the birth weight of their children. For some long-term patients, there was also information on the evolution of their children’s diet and health to adolescence. My findings contained nothing absolute, but they were enough to focus my attention on pregnancy.
Introducing the Program
I formed the suspicion that not all calories are equal and that what really matters is the type of calorie, or the nutrient it carries. In talking with my patients, I found that the vast majority gain weight from eating too many invasive carbohydrates.
Over time, I built a diet that eliminates these sugars during a relatively brief period of weight loss. The results of this method confirmed that excess weight is a condition that could be mastered by those who have the motivation to give up these sugars during the weight-loss phase. I went on to share this method in my book, The Dukan Diet, which reached readers all over the world. Reaching millions of readers is quite a success, but only readers that have what I call DLW, Determination to Lose Weight, will succeed in shedding pounds, and often, in maintaining their new weight.
But there are many whose motivation hasn’t reached this level, who don’t have a strong relationship with a doctor, and who suffer from a wealth of misinformation. In the fight against excess weight, these individuals are simply outmatched. Why is it so hard for them?
People gain weight despite their aversion to the extra pounds because they can’t resist foods that make them overweight. This is partly because the food industry is built around sugar, white flour, and processed foods made with these products. From birth to the age of 50, people are bombarded with pressure to eat processed foods that cause them to gain weight.
The food industry alone does not benefit from this; the pharmaceutical industry also profits from an overweight population. From the age of 50 on, people try to protect their health with extremely expensive drugs for weight-related diseases.
It’s hard for most people to grasp the enormous power of the major food producers, or the extent of their ties to the