From Publishers Weekly
Calling for a fundamental shift in the way diabetes is viewed, Butterfield, founder and director of the Insulin-Free World Federation, combines the story of her own harrowing personal battle with a critical look at the limitations of standard approaches and a review of the latest advances. Diagnosed in 1970 when she was only 10, she began to experience secondary complications when she was in her early 20s, despite her best efforts at managing her diabetes. The progression was steady: retinopathy, then neuropathy, which led to major problems in walking, and then kidney disease. In 1993, with her condition worsening, she underwent a kidney-pancreas transplant in hopes that the new pancreas would produce insulin. Although the procedure has a high success rate, her body rejected the new organs. A year later, however, a retransplant was successful, and since then Butterfield has been living a virtually normal existence, taking only small daily doses of immunosuppressives. Her mission now, spelled out in part two, is to disseminate information about therapeutic options and about the research into transplanting insulin-producing pancreatic islet cells that may one day provide a cure for diabetes. With diabetes treatments accounting for one in four Medicare dollars, her message is one for policy makers as well as for diabetics. (Aug.)
Copyright 1999 Reed Business Information, Inc.
From Kirkus Reviews
Butterfield was diagnosed with diabetes at age 10; at age 34 she received a successful pancreas/kidney transplant, and was cured of the disease. Five years later, Butterfield takes only small daily oral doses of immunosuppressive drugs to prevent organ rejection, and she is the director of the Insulin-Free World Foundation, devoted to finding cures for diabetes. Here she first chronicles her own struggle with the disease and then offers similarly affected readers a thorough, up-to-date guide to current research and future possibilities for their own cures. Butterfield makes crystal clear from the outset that the burden of having diabetes is ``grossly underestimated'' by medical professionals and the general public. Butterfield rejects out of hand the standard establishment line (see Touchette, below) that careful disease management leads to healthy living. Despite her adhering religiously to her treatment regimen, ``within a four-year period diabetes killed the nerves below my knees, caused bleeding in the back of my eyes, the amputation of part of a toe, a skin graft''and that was before the kidney failure and heart attack that finally led to her transplant operation. As Butterfield points out, the focus of diabetes research has been management; her mission is to refocus onto finding cures. This is a forceful, eloquent, engrossing, and ultimately convincing argument. --
Copyright ©1999, Kirkus Associates, LP. All rights reserved.
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