• Archives
  • Aug23

    I am taking a short break from farming activities (avocados, anyone?) and newsletter writing to answer some reader questions. You can also post these on Facebook or Google Plus and I will try to answer there.

    Q.  I am wondering if you think it is a good idea to minimize the cheese, chicken and fish animal proteins? The research I have read suggests that the positive qualities of those products can be found in plant based foods, and without the saturated fat, cholesterol or mercury.  My understanding is that type 1 diabetes has been linked to the casein in cows milk when given to infants, and that animal protein may be related to auto-immune diseases.

    A: In general, yes, about animal proteins–moderate more than minimize.

    I think most of the problem is in overprocessing and some of the hormones and toxins with which they are raised/to which they are subjected, instead of the saturated fat and cholesterol.

    Cholesterol in food (unless you eat 2# of shrimp or 3 egg yolks daily) doesn’t raise cholesterol in the blood.

    Most saturated fat probably raises the risk of heart disease but food is a mix of nutrients, and I think its source is the main thing.

    The other question is harder: type I diabetes has been linked to casein, but so has latitude, and the confounding factor may be vitamin D levels: http://www.ncbi.nlm.nih.gov/pubmed/19100644.

    Infants exposed to casein early in life may be at increased risk for diabetes, but the data are not conclusive.

    So I would not avoid milk because of diabetes risk, but I would want to know where the milk came from, whether the cow received rBGH, growth promoters and so on.

    Of concern, Japanese cattle recently ate radioactive rice straw; whether it harms people to eat radioactive milk is unknown, except in high doses…but the yuck factor is pretty high.

    Q.  Hi, I saw you for the first time on PBS yesterday and was intrigued. I recently lost my job and health insurance and figured since I eat everyday, I might as well eat better. It has to be cheaper than healthcare insurance. I’m Mormon and don’t drink alcohol. Is there a non-alcoholic drink that has the benefits of wine?

    A.  Red grape juice, pomegranate juice and other dark fruit juices do provide many of the benefits of wine.

    However, alcohol raises HDL, which juices do not, but they do provide tannins, flavonoids and anti-inflammatory chemicals which are helpful with inflammation.

    Q:  You seem to be looking at and using a variety of ways to share your information to as many people as will listen. Which I think is fantastic. Have you considered a weekly or monthly conference call for people using a service, like go-to-meeting.com, where you can have interactive discussions or presentations?  I have no clue what is required on the presenter’s part, however.

    A: I have thought about it and like the idea. I’ll send out a poll to newsletter subscribers and ask if they would like that, and how much it should cost.

    I think I would likely use Skype (Kris Carr uses it for her coaching, apparently) and I think it would be fun.  Let’s see!

     
  • Aug9

    Probably, in higher doses.

    A study of 18000 people without heart disease, called JUPITER, shows that Crestor (rosuvastatin) 20 mg showed that for every 1000 patients on high dose (40mg and up) statins, there are 6 more cases of new diabetes over 2 years.

    Crestor also prevented 11 cases of heart attack, stroke, arterial revascularization, hospitalization or death from heart disease, in that 1000 patients.

    The newest study includes 32,752 patients without heart disease.  Again, 2 cases of diabetes, versus 6 or more cardiac events prevented in a 1000 people over 5 years.

    If you actually have heart disease or angina, then the numbers for taking a statin are different.

    • 1 in 83 life saved
    • 1 in 39 prevented a non-fatal heart attack
    • 1 in 125 prevented stroke
    • 1 in 167 developed diabetes

    Is that worth the trade-off?

    I try to find ways for my own patients to get off high doses of statins, especially 80mg doses, because of myopathy and pain.

    A cholesterol registry can chronicle how people control cholesterol naturally.

    I suggest that any patient 40 and over get screened every 3 years, and make sure they don’t suffer from abnormal lab test syndrome.  And I help them make lifestyle changes that help them reduce their need for cholesterol medication.

    Statins can be important medications, and their benefits can be greater in diabetics than nondiabetics.

    But there’s no sense in tempting fate. Let’s enjoy life, and avoid getting diabetes in the first place. Lower your cholesterol with what you eat.

     
  • Jun7

    Although most diet books are written for women, men often need the help more.

    In fact, obese men have lower testosterone levels, which can affect sex drive.

    That makes it a male and female problem.

    Men are about 24 percent less likely than women to have seen a doctor in the past year. But men are hospitalized more than women for congestive heart failure (28 percent more than women), diabetes complications (32 percent more), and pneumonia (24 percent more).

    Each of these problems is weight-related.

    Men are more likely to have heart attacks than women, and more likely to die of cancer. Men are only half as likely as women to be depressed, but the symptoms in men are different than in women–men are as likely to get irritable and angry and stop eating, as to withdraw and get sad and overeat as women can.

    And depression is a huge risk factor for coronary artery disease, heart attack, and stroke.

    Food–and getting a doctor’s help who is specifically interested in men’s diets, obesity and health– can help: 1-3 cups of coffee daily drop prostate cancer risk by almost a third, according to a 2011 Harvard study.

    But even more importantly, what a man eats, and what he avoids can change his testosterone level, improve strength and begin to reshape not just his waist, but his destiny. Test your own testosterone level: privately, securely, accurately.

     
  • May13

    Eating for health doesn’t have to be expensive. And it’s some of the best medicine: for weight loss, for pre-diabetes, for cancer prevention, for cholesterol control.

    Courtesy of MyMoneyBlog are easy ways to understand the cost of calories.

    In speaking with health professionals about what is new and next in nutrition, and the power of writing recipes on prescription slips, the subject of how much food costs does come up, but it’s usually the last question, after those about resources, food prescriptions and prevention.

    For the food-buying public, cost is usually the first question.  Getting real about the high price of cheap food is the biggest stumbling block for most people, and why not?

    The most precious commodity for many people is time, followed by immediate, check-to-check cost. Then food quality and nutrition.

    We spend almost as much away from home (48.6 percent) on food as we spend for food at home (51.4 percent), as of 2009.

    Cost from USDASaving health care dollars down the road often takes back seat to getting the kids fed, the car fixed and the job done.  Mark Bittman persuasively and lucidly writes that the U.S. can save $1 trillion dollars by reforming the American diet.

    We’re eating 23% more in the U.S. than we did in 1970. And that’s just quantity: quality of calories also makes a difference (cool interactive info-graphic here, from Civil Eats). And there’s no better control of quality than your own hands.

    Could cooking could be a disruptive technology in health care?

     
  • Mar1

    Americans treated for diabetes doubled to about 19 million (8.5% of the population) in 2007 compared with 9.1 million (4.6% of the population) in 1996, according to the AHRQ, a federal agency.

    That doesn’t count the undiagnosed (7 million) and those with prediabetes (79 million).

    Health care spending on diabetes more than doubled to $40.8 billion (the ADA says this figure is low: total diabetes costs are $174 billion, they say, in 2007). U.S. Diabetes expenses 1996-2007

    But something odd happened: what it was spent on changed.

    The amount spent on on prescription medication in 2007 doubled vs 1996: 46.7% compared with 23%.  The amount spent on home health actually fell by nearly two-thirds: 9.5% vs 27.1%.

    Individuals with diabetes paid double too: $1048 in 2007 versus $495 in 1996.

    What do all these numbers mean? They mean diabetes is doubling, fast. They mean that payers are paying for medication–not home care, by a mile.  Actually, by billions of dollars.

    But I wonder if these same payers know the data about lifestyle program cost and prevention of diabetes.Diabetes Prevention Program

    This slide summarizes the results of the Diabetes Prevention Program. It tested metformin (a good, inexpensive medication)  versus diet and lifestyle in reducing diabetes, for a year.  Metformin reduced diabetes by 31%.

    Lifestyle did better. It reduced diabetes by 58%. Without any complications.

    They lost just 7 percent of body weight and exercised only 2.5 hours weekly, on average.

    It was an expensive program–about as expensive as medication, not including diabetes costs prevented–but the researchers brought the costs down: United Health is testing a version with the YMCA and pharmacists.

    More innovation! That’s the spirit! Should the right food be reimbursed?