Dr Richard K. Bernstein died at the age of 90 this year in 2025. Living with Type 1 Diabetes since he was a child, he studied medicine and went on to become a pioneer in diabetes, especially T1. His work transformed the landscape of diabetes management and inspired a global community to pursue better health through informed self-care. A man after my heart!

Through self-experimentation as a diabetic, he discovered that a low-carbohydrate diet, combined with precise insulin dosing, could stabilise his blood glucose and reverse many of his complications. Low-sugar and low-insulin dosing made up his “Law of Small Numbers”:

• ● Small carbs ⇒ small glucose rises. Less carbohydrate means smaller post-meal spikes.
• ● Small spikes need small insulin doses. When doses are small, any dosing error produces a small glucose error, not a big swing.
• ● Small doses are more predictable. Absorption variability matters less; you get flatter curves and lower glycaemic variability.

This book is a bible if you or a loved one have grappled with this debilitating disease, either Type 1 or 2 Diabetes. It’s a keeper! I’ve read it avidly, having family in both groups.

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