Active Low-Carber Forums

Active Low-Carber Forums (http://forum.lowcarber.org/index.php)
-   Low-Carb War Zone (http://forum.lowcarber.org/forumdisplay.php?f=137)
-   -   Matt Stone again on diabetic control (http://forum.lowcarber.org/showthread.php?t=402555)

Merpig Tue, Oct-13-09 12:22

Matt Stone again on diabetic control
 
http://180degreehealth.blogspot.com...s-sunshine.html
Quote:
I’m currently immersed in type II diabetes research. All the information on diets to treat and sometimes cure type II diabetes fall into 3 basic categories as far as I can tell.

Category 1 is the garden variety diabetes info. that is basically the same as the American Heart Association guidelines. This information is passed out to diabetics because they are at a tremendously elevated risk of getting heart disease. It differs little from the food pyramid hoo-ha, stressing lean meats, starchy carbohydrates, fruits, vegetables, and a low intake of dietary cholesterol and saturated fat. It doesn’t work for shit of course, prompting the medical world to deem diabetes an “incurable” ailment. It doesn’t stave off heart disease either. It is treatment, but certainly no cure for anything.

Category II is the low-carb stance of things. Richard Bernstein, Barry Groves – these guys advocate treating the symptom of high blood sugars by keeping carbohydrates at a minimum in an attempt to keep blood sugars low. Diabetes isn’t really a disease of high blood sugar though. That’s just the primary complication that comes at the end of a stew that’s been gurgling for quite some time. Diabetes is a disease of insulin resistance, where the body doesn’t respond to the insulin it produces, and the typical low-carb, high-protein, high-fat approach helps in the short-term. But it’s far from reliable as a cure for insulin resistance. People overcoming insulin resistance via low-carb diets are a rarity for sure. Plus, as reduced-carbohydrate advocate Diana Schwarzbein has noted, it has taken her years to get diabetic patients off of insulin and living a good, healthy life again.

Category III is where the name “Sunshine” comes into play. Neal Barnard, author of Dr. Neal Barnard’s Program for Reversing Diabetes, is one of a handful of authors/health advisors that advocate a pretty strict vegetarian diet for diabetes. This diet consists of virtually no fat, low to moderate levels of protein – all plant-derived, and more or less unlimited amounts of carbohydrates. Gary Taubes would have a conniption over such advice, but much to his carb-phobic dismay, the general consensus is that an extremely high-carbohydrate vegan diet is, without a doubt, the quickest and most expedient way to get diabetics off of medication, undoing insulin resistance completely, and making them “undiabetic.”

The low-carb enthusiasts would of course have a diabetic feeling like such a diet is utter suicide. This is just about as idiotic as the low-fat vegan knobs having the world believe that eating meat and saturated fat is utter suicide. One side has a blind eye to the other. Fortunately, there are some folks out there with two eyes and the intellectual flexibility to use them both...

So to cut to the chase, I’m leaning towards highlighting an approach similar to that of Dr. Joel Fuhrman’s in overcoming insulin resistance and becoming “undiabetic” in my next eBook on type II diabetes – due by the end of November. But I wanted to give it a little trial myself. So here I go for the next two weeks or more, while taking daily glucose readings first thing in the morning to track my progress...

Yep, you got it. I’m going to eat nothing with fins, fur, feathers, faces, or feelings a la Fuhrman. It’ll be roughly 80% carb, 10-15% protein, and 5-10% fat.

To add an interesting twist – something that I’ve found extremely compelling since Sista Pooti (her blog is no longer available, sorry) went pure carnivore (zero carb/FUMP) and had higher blood sugars than when carbs were in her diet…

...My girlfriend will be simultaneously eating an extremely low-carb diet and testing her blood sugars along the journey as well. We test at the same time, before breakfast every morning. After the first day in which I ate several cups of brown rice, 2 quarts of starchy vegetable soup, five pieces of fruit, and a huge bowl of oatmeal (at least 600 grams of carbs), I’ve got her beat by a whopping 15 mg/dl. (Keep in mind she’s been eating low-carb for over 3 years now - but is now dropping them to near zero).

High carb = 84 mg/dl

Low carb = 99 mg/dl

LAwoman75 Tue, Oct-13-09 12:56

I'm very interested to see where his experiment leads.

Valtor Tue, Oct-13-09 13:30

Yeah, I'm following him too. :)

Patrick

Wyvrn Tue, Oct-13-09 14:07

Why is it surprising that people on high carb diets can have lower fasting BG than someone who's adapted to low-carb? Hypoglycemia is a sign of incipient diabetes.

I'd be a lot more interested in comparing insulin levels, triglycerides and stability of both BG and insulin. A few points of glucose within normal range doesn't seem much to hang a judgement on.

rightnow Tue, Oct-13-09 14:22

Honestly, since he is merely reading other people and has zero medical qualifications I don't think he should be putting out books on anything related to diabetes.

Seejay Tue, Oct-13-09 14:29

Quote:
Originally Posted by Wyvrn
Why is it surprising that people on high carb diets can have lower fasting BG than someone who's adapted to low-carb? Hypoglycemia is a sign of incipient diabetes.

I'd be a lot more interested in comparing insulin levels, triglycerides and stability of both BG and insulin. A few points of glucose within normal range doesn't seem much to hang a judgement on.
This is a good point. GCBC has a section where he talks about how the diabetic community got all excited about studies that show good blood sugar control with high carbs - it can be done, but at the cost of excessive high insulin all day long for some people.

If you can keep total energy in line, no fat gain. But you have to toe the line with sat fat (pure energy) and excess carb for your activity. If you have too much fat or carb, fat gain.

But because there is no way to measure the insulin damage easily, it is not measured.

Nancy LC Tue, Oct-13-09 15:26

See what Peter from Hyperlipid says about higher BG readings in low carbers and how they mean something different than from diabetics.

http://high-fat-nutrition.blogspot....resistance.html

Quote:
A LC eater has a FBG of 5.5mmol/l, technically pre diabetic, but blood insulin is 3.5 IU/ml. This is VERY low. Glucose is in very short supply but blood glucose is maintained by physiological insulin resistance, ie the muscles are full of triglycerides assembled from free fatty acids (NEFA) from lipolysis. The LC eater has breakfast, with enough protein from his eggs or particularly casein from his yoghurt to raise insulin from 3.5 IU/ml to 5.0IU/ml. This inhibits lipolysis enough to reduce NEFA in the bloodstream, intramuscular triglycerides fall and muscle insulin sensitivity returns. There's minimal glucose coming from the gut and so plasma glucose drops to between 4.0 and 5.0mmol/l, probably nearer 4.0mmol/l. It fluctuates between 4.0 and 5.0 after and between each LC meal. In the early hours of the morning there is a growth hormone surge and NEFA from lipolysis peak early morning to give insulin resistant muscles and an elevated FBG.

MEAN glucose over 24h will be in 4 point somethingish, HbA1c will be between 4 and 5%. INSULIN will probably average out around 5-10 IU/ml, averaged out over 24h.

A SAD eater has a FBG of 5.5, prediabetic, because he is prediabetic. His muscles and liver are permanently and pathologically insulin resistant. His pancreas is cranking out 50 IU/ml of insulin to just keep that FBG in the 5.5mmol/l range. He eats bagels, jam and a large mocha for breakfast and his blood glucose hits 15mmol/l. His pancreas ups the insulin output as high as it can get it, perhaps to 150 IU/ml and just manages to to get blood glucose back down to 5.5mmol/l before lunch. Lunch is pasta and the cycle repeats.

Mean glucose over 24 hours will be between 7 and 12mmol/l. HbA1c might just hover around 7%. INSULIN will average 100 IU/ml over the 24 hours.

Helicobacter lives on the hydrogen from flatus, so is present in far too high a number for health in our flatulent carb eater and chronically irritates the gastric lining. Insulin-like Growth Factor-1 (IGF-1) receptor is over expressed and converts disorderly proliferation of gastric mucosa in to gastric cancer. See here.

Insulin acts on IGF-1 receptor to achieve this transformation.

A high carb eater with FBG of 5.5mmol/l implies chronic hyperinsulinaemia, 24/7 and is looking for something to die from.

A LC, very high fat eater with a FBG of 5.5mmol/l implies they haven't had breakfast yet. They are not going to be hyperinsulinaemic at any stage. Unless they eat a bagel instead of their normal bacon and eggs that is. If they do this their blood glucose will hit 10mmol/l before insulin can shut down lipolysis and get the muscle accepting glucose.

It's NOT the FBG of 5.5mmol/l that matters. It's what that means about insulinaemia if you are eating a rice based diet. It's bad. The Kitavans eat a sweet potato based diet, are not insulin resistant and have FBG of 3 point something.

Does that clarify matters? Did I screw up in terms of clarity in the posts on physiological insulin resistance and H. pylori? If so, I'd better get a new post up!

Thinking in terms of FBG = 5.5mmol/l = huge cancer risk is thinking like a cardiologist. Don't go there. Think why, think holistically.

Peter


It's a bit technical (understatement!) but this here is key:
Quote:
A LC eater has a FBG of 5.5mmol/l, technically pre diabetic, but blood insulin is 3.5 IU/ml. This is VERY low. Glucose is in very short supply but blood glucose is maintained by physiological insulin resistance,

So, we're insulin resistant because we have so little glucose in our blood and very little insulin too. As soon as we break our fast, then those numbers will drop lower a couple hours later. So a highish FBG for a low carber means, they're just a low carber who hasn't had breakfast yet.

A SAD eater, pre-diabetic, will have high blood glucose AND high insulin. His muscles and liver are permanently insulin resistant, not temporarily like a LCer.

So if you're LC, rely on an A1C test, not necessarily a FBG test.

Central000 Tue, Oct-13-09 17:17

Let me see if I understand correctly.

Two undiabetic people are going to follow opposing diabetic diets for two weeks and measure their blood sugar every morning while doing it.

I wonder what it is they hope to learn? :D

Valtor Wed, Oct-14-09 08:24

http://180degreehealth.blogspot.com...of-sunny-d.html
Quote:
By the way, I don’t expect any massive, life-changing conclusions to come of this experiment. I’ve already decided to at least elaborate upon Fuhrman-style dieting for Diabetes in my upcoming eBook on the subject. There’s no question that it’s worth mentioning. It’s worth much more than mentioning actually, and I love the way in which it turns the carbs = insulin = diabetes theory of Atkins, Eades, Taubes, Lutz, etc. on its head.

Humm I'd like to know how this works exactly. :o

Patrick

Central000 Wed, Oct-14-09 10:24

Quote:
http://180degreehealth.blogspot.com...of-sunny-d.html
By the way, I don’t expect any massive, life-changing conclusions to come of this experiment.


I fail to see where any conclusions, inferences, possibilities, or hypotheses whatsoever could come from the experiment.

rightnow Wed, Oct-14-09 10:31

I think maybe his eating is frying his brain.

What makes him qualified to go on about medical opinions?

The man is READING OTHER PEOPLE and from this, deciding he is an expert.

I understand he is young, and that is part of his charm, but arrogance+immaturity when it comes to serious medical issues is not a small thing.

It's one thing and bad enough to really just be a loud wannabe when it comes to weight loss. It's completely inappropriate to be getting directly into areas of life-threatening disease. Like he has any clue, like he has any way of getting any clue. He can just read other people and have an opinion. Better to point people at whomever he is reading in his weekly change of mind, frankly, since he personally has no qualifications for talking about treatment of disease.

PJ

Seejay Wed, Oct-14-09 11:10

Quote:
Originally Posted by Valtor
http://180degreehealth.blogspot.com...of-sunny-d.html

Humm I'd like to know how this works exactly. :o

Patrick
Yeah, it doesn't. Sometimes I think Matt Stone is not too smart and doesn't quite understand all he reads.

As Peter at Hyperlipid wrote recently

Quote:
... anyone who follows Stephan's blog or any of the Kitava posts here will realise that very high carbohydrate diets per se are not the problem. The problem is failure to maintain efficient glucose usage at physiological concentrations of insulin.

M Levac Wed, Oct-14-09 11:46

Quote:
High carb = 84 mg/dl

Low carb = 99 mg/dl

Taken like this, high carb looks better, doesn't it? Until we learn that the blood glucose measurement is done two hours after eating. If it was done immediately after eating, or even during the meal, not only would the numbers be reversed, it would look really bad for high carb.

When eating zero carb, or very little carb, blood glucose barely rises immediately after the meal. This is due to insulin's action on blood glucose combined with the lack of incoming carbohydrate, which in turn fails to make blood glucose rises. If anything, eating zero carb will cause blood glucose to drop during and after a meal. Some time after that, oh let's say two hours, hormones will kick in and slowly return blood glucose to normal range. That's quite different from what a high carb meal does, isn't it? We eat carbs, blood glucose rises above normal, insulin kicks in, and blood glucose slowly drops back down to normal range. But all this time before it happens, blood glucose was artificially (i.e. from the meal and not the body itself) maintained above normal range.

Two-hour-post-meal measurement is about as reliable as looking at somebody from ten feet away. It only gives us a glimpse of what's really going on. It doesn't tell us, for instance, how much and how long blood glucose stays above normal over the entire day. In other words, it doesn't tell us how big the area is under the curve.

There is a way to measure this curve. Test blood glucose as often as possible once the meal starts until two hours post meal. But that would be too simple. It would teach us too much about blood glucose.

coachjeff Wed, Oct-14-09 19:58

The quote from Peter of HyperLipid is very interesting. Particularly the part about IGF increasing risk of cancer.

But because I have an inquiring mind, I have to ask myself...if carbs = insulin = IGF = increased cell division = cancer....then why the heck do 7th Day Adventists on their HIGH carb diets have such LOW cancer rates?

No matter how "logical" an argument may sound, I simply cannot ignore common-sense observations like that.

Valtor Thu, Oct-15-09 06:02

Well said Jeff. Observations cannot be ignored. All observations must be explained by an hypothesis, otherwise said hypothesis is invalid and not even worthy of being tested.

Patrick

Nelson Thu, Oct-15-09 08:25

Quote:
Originally Posted by coachjeff
But because I have an inquiring mind, I have to ask myself...if carbs = insulin = IGF = increased cell division = cancer....then why the heck do 7th Day Adventists on their HIGH carb diets have such LOW cancer rates?

No matter how "logical" an argument may sound, I simply cannot ignore common-sense observations like that.

I have some insight here, having been raised a Seventh-day Adventist. For generations, the SDA church promoted ABSOLUTE avoidance of all alcohol, tobacco, and caffeine. The avoidance of caffeine extended to a ban on chocolate and colas. I think this really accounts for much of their longevity.
For years they also promoted absolute avoidance of pork and shellfish, but only recommended vegetarianism and never promoted veganism. A Seventh-day Adventist might eat beef, chicken, and finfish, and still be a member in good standing, but an SDA who began to drink coffee or alcohol or eat pork was considered apostate. No burnings at the stake, mind you :lol:, but you would find yourself on a prayer list if anyone found out. And, you could be expelled from an Adventist college if you were found to be drinking or smoking.

tomsey Thu, Oct-15-09 11:29

Here is a study that looked at coffee with SDAs:
http://findarticles.com/p/articles/...11/ai_12673616/


Quote:
There was a small but statistically significant association between coffee consumption and mortality from ischemic heart disease, other cardiovascular disease, all cardiovascular diseases combined, and all causes of death. The effects were stronger in younger age groups. There was little difference between the effects of 1-2 cups of coffee per day and 3 or more cups, "perhaps indicating a threshold effect at 1-2 cups per day."

coachjeff Thu, Oct-15-09 13:40

Valtor - You posted a link to a video of Gary Taubes somewhere...he was talking about how fructose may be the issue, rather than carbs? Could you post that link again?

amandawald Thu, Oct-15-09 14:43

Strange, really... Quite a few of the people on this forum came here after having tested all that low-fat, vegan, high-carb stuff, found it didn't work, in whatever way, and turned to the low-carb way of eating. Seems that Matt Stone is just doing it the other way round...

I tried the Joel Fuhrman way of eating, too, once upon a time. I did lose weight, too, but basically because I was absolutely starving the whole time (I thought this was a good thing, so I did it happily). I lost muscle in the process, too, and I will never ever go back to that way of eating.

I wonder if Matt Stone will also monitor his body composition as he follows this diet??? I wonder if he will suffer from the same loss of muscle as I did???

The difference between me and Matt, though, is I never decided to open a big-mouth blog and proclaim myself an expert on anything, let alone start giving advice to diabetics. The guy needs to put his ego on a serious weight-loss diet, that's for sure!!!

I can't believe that this guy is for real.

amanda

Valtor Thu, Oct-15-09 15:15

Quote:
Originally Posted by coachjeff
Valtor - You posted a link to a video of Gary Taubes somewhere...he was talking about how fructose may be the issue, rather than carbs? Could you post that link again?

There you go: http://www.dhslides.org/mgr/mgr060509f/f.htm

Slide 48.
Quote:
Fructose is the carbohydrate converted most efficiently into glycerol-3-phosphate, which is why it's one of several reasons fructose is considered the most lipogenic carbohydrate Indeed It might be 90% of the problem.

Patrick

coachjeff Thu, Oct-15-09 19:35

Thanks Valtor. Interesting that Taubes himself appears to be confirming the theory that fructose is the majority of the problem.

Makes me cringe when I think of the absolutely obscene amount of fruit I used to eat on Cordain's version of paleo diet. When he said "eat all the fruit you want", that was all the excuse I needed to gorge on the stuff.

coachjeff Thu, Oct-15-09 20:49

Watched the video/slide presentation by Taubes. It's very compelling stuff, and Gary is certainly sticking by his guns.

But if I were in that audience, I'd be asking why - if carbs drive insulin, drive fat - are Asians not generally fat. Why are Peruvians who eat BIG ole starchy potatoes not fat. Why are many vegans so slender on very high carb intake?

His arguments appear "bullet proof" but too many real world populations which eat plenty of carbs appear to totally refute his main thesis.

coachjeff Thu, Oct-15-09 21:16

Michael Eades has posted Gary Taubes’s answers to questions sent in by readers. The first one, “How do Asians and others living a seemingly high-carb existence manage to escape the consequences?” Taubes’s answer:

There are several variables we have to consider with any diet/health interaction. Not just the fat content and carb content, but the refinement of the carbs, the fructose content (in HFCS and sucrose primarily) and how long they’ve had to adapt to the refined carbs and sugars in the diet. In the case of Japan, for instance, the bulk of the population consumed brown rice rather than white until only recently, say the last 50 years. White rice is labor intensive and if you’re poor, you’re eating the unrefined rice, at least until machine refining became widely available. The more important issue, though, is the fructose. China, Japan, Korea, until very recently consumed exceedingly little sugar (sucrose). In the 1960s, when Keys was doing the Seven Countries Study and blaming the absence of heart disease in the Japanese on low-fat diets, their sugar consumption, on average, was around 40 pounds a year, or what the Americans and British were eating a century earlier. In the China Study, which is often evoked as refutation of the carb/insulin hypothesis, the Chinese ate virtually no sugar. In fact, sugar consumption wasn’t even measured in the study because it was so low. The full report of the study runs to 800 pages and there are only a couple of mentions of sugar. If I remember correctly (I don’t have my files with me at the moment) it was a few pounds per year. The point is that when researchers look at traditional populations eating their traditional diets — whether in rural China, Japan, the Kitava study in the South Pacific, Africa, etc — and find relatively low levels of heart disease, obesity and diabetes compared to urban/westernized societies, they’re inevitably looking at populations that eat relatively little or no refined carbs and sugar compared to populations that eat a lot. Some of these traditional populations ate high-fat diets (the Inuit, plains Indians, pastoralists like the Masai, the Tokelauans); some ate relatively low-fat diets (agriculturalists like the Hunza, the Japanese, etc.), but the common denominator was the relative absence of sugar and/or refined carbs. So the simplest possible hypothesis to explain the health of these populations is that they don’t eat these particularly poor quality carbohydrates, not that they did or did not eat high fat diets. Now the fact that some of these populations do have relatively high carb diets suggests that it’s the sugar that is the fundamental problem.

rightnow Thu, Oct-15-09 21:29

In GCBC when Taubes was talking about the china study he pointed out (this is a VERY fuzzy recall here) that it was the addition of grains that were not rice, in some areas, that seemed to be the factor correlated with health issues. This seems to be the same for what I read about other cultures and their carbs. E.g. lots of rice = ok; lots of fat = ok; lots of root veggies (in other cultures, and I mean 'sweet potatoes' NOT beets/potatoes) ok; 'some' foods as grains like fermented millet porridge etc. ok; but add wheat and it collapses even when there wasn't a lot of sugar, and this might be because it often is more 'sugar' to the body than sugar itself I suppose. He did not dwell on this, it is just something I took away from it, so maybe someone else can quote a more specific/accurate part (I don't have the book here).

It does seem more and more as if bad oils, fructose, and wheat, are at the heart of all of this.

The real question is what fixes it. You can eat good oils, take supplements to try and balance the bad oils you're trapped in like store bought meat, avoid fructose in every form except the rare berry, and ban all grains and even gluten. How long does it take for that to fix something? Does it fix something? In how many? Are there other factors that matter to 'healing'? If it's done metabolic damage already does that mean that every major gland and organ and hormone actually has problems, as well as stomach digestion, small intestine absorption, etc.? Is the complexity of this in part because the damage is pervasive body-wide and not just limited to a few key transactions like storing fat? These are the things I wish someone knew.

Valtor Fri, Oct-16-09 06:03

I understand what you mean PT, I decided I was fed up with my metabolism and I'm going to fix it for real. If not eating carbs is only a patch, then I'm going to find my real issues. I actually ordered some Metformin and Cytomel. My temp at 96.5 is not normal, whatever doctors tells me. I am now entering a more dangerous territory with this sort of experimentation. But self medicating might be the only thing that fixes me for real.

So I will try the WT3 Protocol (Wilson's Temperature Syndrome T3 Protocol). It's supposed to be done with timed-release T3, but all I have access to is Cytomel.

I'm really sick of trying to fix the problem by treating the symptoms. I want my properly functioning metabolism back and I'm going to fight for it ! :)

Patrick

coachjeff Fri, Oct-16-09 06:39

Regarding improperly functioning metabolism. Yes, hormones are important in that regard. But so is muscle. Do you weight train?

Valtor Fri, Oct-16-09 07:08

I did, but only 5 hours a week of intensive supersets and dropsets for about 6 months. I did get bigger muscles, but that did not change anything for my temperature. I lost 5 pounds on the scale, so less fat and more heavier muscles. It was about 15 pounds fat loss and this was combined with low-carbing.

It never became natural for me to do this, which means it is not what my metabolism needed to function properly. I need a good endo, but this is a ridiculous thought where I live. So I'm taking things in my own hands. I will fix myself no matter what it takes.

Patrick

coachjeff Fri, Oct-16-09 07:14

Hmm...self medicating with any hormone seems mighty risky unless you are VERY educated about proper doses. For instance, the amount of estrogen a woman secretes over a 30 year period weighs about as much as one postage stamp.

Dem hormones sho is powerful stuff!

Valtor Fri, Oct-16-09 07:28

Indeed, I've been reading on this for the past 3 years and it is just now that I really feel confident about it. I feel like I could become an MD if I only had the prior grades to be accepted (I was too lazy in school). ;)

Patrick

RobLL Fri, Oct-16-09 10:46

Valtor - 37 degrees centigrade was, IIRC, determined by the French. It was NOT intended to designate temperature to the tenth of a degree - body temperatures naturally vary. The US equaivalent of 98.6 is scientifically a mis-statement as normal temperature. It mistakenly implies that normal can be determined to a tenth of a degree. Other information regarding body temperature:

http://en.wikipedia.org/wiki/Body_temperature


All times are GMT -6. The time now is 22:37.

Copyright © 2000-2024 Active Low-Carber Forums @ forum.lowcarber.org
Powered by: vBulletin, Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.