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The conventional test for diabetes in a doctor's office involves a blood-sugar level test after a fast of 12 or so hours. Atkins believes that this is inadequate. According to him, by the time a doctor's blood test shows elevated blood sugar following a 12-hour fast, and one is thereby labeled clinically diabetic (Type II diabetes), the blood sugar disorder is already well advanced. Atkins believes that blood sugar disorders are much more prevalent in the population than is commonly realized. In fact, Atkins asserts that he has never met anyone who was overweight that did not have some degree of blood sugar disorder, if only manifested by increased insulin resistance.
Atkins believes that the blood-sugar levels should be checked repeatedly after a meal, not just once after 8-12 hours. Using his words, what is needed is not a snapshot but a movie of the sugar metabolism. The normal curve for blood sugar is supposed to be as follows: A postprandial rise for about an hour or two (not too high at its peak) followed by a gradual decline, and one that does not need a great deal of insulin released to cause this decline. The first symptom of a blood sugar disorder is a normal blood-sugar curve that nevertheless requires excessive amounts of insulin to bring the blood sugar under control (hyperinsulism). For this reason, Atkins believes that measuring blood sugar alone is never enough. The insulin levels must also be measured. If the blood sugar goes too high one hour after eating, this also indicates a blood sugar disorder--even if the level after 8-12 hours is normal.
If Atkins is even half-right, then doctors are missing a lot. And Atkins believes that the solution to Type II diabetes is the reversal of insulin resistance, not the supplementation of additional insulin. Paradoxically, insulin supplements can make weight loss more difficult.
The Atkins Nutritional Approach has commonly been misrepresented as one where virtually all carbs are cut out. This is patently untrue. Atkins recommends the retention of natural, low-glycemic carbs, especially those which coexist with valuable nutrients, as is the case with many fruits and vegetables (for example, strawberries). Atkins mentions that, apart from weight loss, the elimination of empty carbs from the diet can bring such benefits as renewed taste of sweet things and a major drop in blood triglycerides. From personal experience, I can say "Amen!" to that.
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