d and round in a vicious cycle. This leads to visceral fat accumulation (Jelly Bean Belly!), which is highly inflammatory, further worsening insulin resistance via various inflammatory mediators like tumor necrosis factor.
3) Sugary foods, i.e., sucrose- or high-fructose corn syrup-sweetened, are sources of fructose, a truly very, very bad sugar that is metabolized via a completely separate pathway from glucose. Fructose is 10-fold more likely to induce glycation of proteins than glucose. It also provokes a (delayed) rise in insulin resistance, accumulation of triglycerides, marked increase in formation of small LDL particles, and delayed postprandial (after-eating) clearance of the lipoprotein byproducts of meals, all of which leads to diabetes, hypertension, and atherosclerosis.
I think we can all agree that replacing wheat with jelly beans and ice cream is not a good solution. And, no, we shouldn't have drunken binges, wife beating, smoking or bourbon to excess. So why does the "gluten-free" community advocate replacing wheat with products made with:
rice starch, tapioca starch, potato starch, and cornstarch?
These powdered starches are among the few foods that increase blood sugar (and thereby provoke glycation and insulin) higher than even the amylopectin A of wheat! For instance, two slices of whole wheat bread typically increase blood sugar in a slender, non-diabetic person to around 170 mg/dl. Two slices of gluten-free, multigrain bread will increase blood sugar typically to 180-190 mg/dl.
The fatal flaw in thinking surrounding gluten-free junk carbohydrates is this: If a food lacks some undesirable ingredient, then it must be good. This is the same fatally flawed thinking that led people to believe, for instance, that Snack Well low-fat cookies were healthy: because they lacked fat. Or processed foods made with hydrogenated oils were healthy because they lacked saturated fat.
So gluten-free foods made with junk carbohydrates are good because they lack gluten? No. Gluten-free foods made with rice starch, tapioca starch, potato starch, and cornstarch are destructive foods that NOBODY should be eating.
This is why the recipes for muffins, cupcakes, cookies, etc. in this blog, the Track Your Plaque website, and the Track Your Plaque Cookbook are wheat- and gluten-free and free of gluten-free junk carbohydrates. And put that bottle of Jim Beam down!
Conventional notions of heart healthy diets, such as that advocated by the American Heart Association, are largely based on observations of total and LDL cholesterol.
So, cut the saturated fat in the diet, cut the overall fat content, and replace them with polyunsaturated oils like safflower, corn, and vegetable oils and increase consumption of whole grains and total and LDL cholesterol show a modest downturn. Thus, diets like the American Heart Association Total Lifestyle Change approach advocate limiting total fat to no more 25 to 35% of calories and saturated fat to no more than 7% of calories.
If you loved Creamsicles as a kid, you'll love these Orange Cream Cookies. (Sorry, no photo: We ate them up before I realized we hadn't taken the photo. And, worse, we did it twice!)
Ingredients: 2 cups almond meal 2 tablespoons coconut flour 1 teaspoon baking soda ½ teaspoon sea salt ¼ cup golden raisins ½ cup chopped pecans Sweetener equivalent to 1 cup sugar 2 tablespoons finely-grated orange rind 1 large egg 2 tablespoons coconut oil, melted ½ cup whipping cream (or coconut milk) 1 tablespoon vanilla extract
Preheat oven to 350º F.
Combine almond meal, coconut flour, baking soda, salt, raisins, pecans, sweetener and orange zest in bowl and mix.
In separate bowl, whisk egg, then add coconut oil, whipping cream, vanilla extract and mix together. Pour wet mix into dry and blend by hand thoroughly.
Spoon onto parchment paper-lined baking pan (or oiled pan) and flatten with spoon to ½-¾ inch thickness. Bake for 20-25 minutes or until toothpick withdraws dry.
I'm a cardiologist. I see patients with heart disease in the form of coronary artery disease every day.
These are people who have undergone bypass surgery, received one or more stents or undergone other forms of angioplasty, have survived heart attacks or sudden cardiac death, or have high heart scan scores. In short, I see patients every day who are at high-risk for heart attack and death from heart disease.
But I see virtually no heart attacks. And nobody is dying from heart disease. (I'm referring to the people who follow the strategies I advocate, not the guy who thinks that smoking a pack of cigarettes a day is still okay, or the woman who thinks the diet is unnecessary because she's slender.)
Two high-profile deaths from heart attacks occurred this week:
Davy Jones--The iconic singer from the 1960s pop group, the Monkees, suffered sudden cardiac death after a large heart attack, just hours after experiencing chest pain.
Andrew Breitbart--The conservative blogger and controversy-generating media personality suffered what was believed to be sudden cardiac death while walking.
It's a darn shame and it shouldn't happen. The tools to identify the potential for heart attack are available, inexpensive, and simple. The strategies to reduce, even eliminate, risk are likewise available, inexpensive, and cultivate overall health.
The followers of the Track Your Plaque program who
1) get a heart scan that yields a coronary calcium score (for long-term tracking purposes) 2) identify the causes such as small LDL particles, lipoprotein(a), vitamin D deficiency, and thyroid dysfunction 3) correct the causes
This represents progress. Progress in understanding of wheat-related illnesses, as well as progress in spreading the word that there is a lot more to wheat-intolerance than celiac disease. But, as I mention in the letter, it falls desperately short on several crucial issues.
Ms. Beck--
Thank you for writing the wonderful article on gluten sensitivity.
I'd like to bring several issues to your attention, as they are often neglected in discussions of "gluten sensitivity":
1) The gliadin protein of wheat has been modified by geneticists through their work to increase yield. This work, performed mostly in the 1970s, yielded a form of gliadin that is several amino acids different, but increased the appetite-stimulating properties of wheat. Modern wheat, a high-yield, semi-dwarf strain (not the 4 1/2-foot tall "amber waves of grain" everyone thinks of) is now, in effect, an appetite-stimulant that increases calorie intake 400 calories per day. This form of gliadin is also the likely explanation for the surge in behavioral struggles in children with autism and ADHD. 2) The amylopectin A of wheat is the underlying explanation for why two slices of whole wheat bread raise blood sugar higher than 6 teaspoons of table sugar or many candy bars. It is unique and highly digestible by the enzyme amylase. Incredibly, the high glycemic index of whole wheat is simply ignored, despite being listed at the top of all tables of glycemic index. 3) The lectins of wheat may underlie the increase in multiple autoimmune and inflammatory diseases in Americans, especially rheumatoid arthritis and inflammatory bowel diseases (ulcerative colitis, Crohn's).
In other words, if someone is not gluten-sensitive, they may still remain sensitive to the many non-gluten aspects of modern high-yield semi-dwarf wheat, such as appetite-stimulation and mental "fog," joint pains in the hands, leg edema, or the many rashes and skin disorders. This represents one of the most important examples of the widespread unintended effects of modern agricultural genetics and agribusiness.
William Davis, MD Author: Wheat Belly: Lose the wheat, lose the weight and find your path back to health
