The most important weight loss tool


Question: What is the most effective tool available to help you lose weight? 


A pedometer (walk 10,000 steps, etc.)?

A treadmill? 




A bicycle?






No. None of the above. 

The most important tool you can use to achieve weight loss is your glucose monitor:



Comments (15) -

  • Emily

    3/4/2010 5:43:01 PM |

    Dr. Davis,
    would you please explain, in layman's terms, why chiceking blood glucose can be so important for not only keeping track of blood sugar but for weight loss? I think I get it, but my mother, who was recently diagnosed as "pre-diabetic", says she is going to return the glucosometer she based bought upon my suggestion, as she is going to eat low-carb and track calories, etc.  Help me help my mom out!  Thanks so much,
    emily

  • Larry

    3/4/2010 6:24:28 PM |

    Dr Davis, thanks for the site.

    There's a history of Diabetes in my family.
    My dad and his father were both Diabetics and they both died of Pancreatic Cancer in later years.
    They never watched any of their habits though.
    My dad's doctor used to call him a "food and lifestyle" liar. Dad shrugged it off.. and kept on lying.

    Yes, I know about the genetic odds here.
    I do watch what I eat, Vit D3, no cigarettes and I exercise and live life.

    I've never seen a conclusive study relating Diabetes and Pancreatic Cancer.
    Any thoughts on that ?
    I'm not Diabetic. FBG today of 89.
    But I still watch myself and I have started to use a BG monitor to watch post-prandial numbers.
    It's interesting how different foods affect everyones's BG differently.
    I'm continually learning.
    Thanks again for the site.

  • Anonymous

    3/4/2010 7:43:43 PM |

    I'm new to all this but have a question if anyone is willing to indulge me an answer...

    I frequently fall to sleep after lunch and/or after dinner, just "nod off" type of thing.  Is this a result of high BG and then the insulin response driving sugar low?

    I am not diabetic and try to eat reasonable healthy meals, moderates amount of lean meat, vegetable and starch like rice or potato.  I wonder if I have insulin insensitivity...guess I need a meter. Thanks

  • Sam

    3/4/2010 7:43:43 PM |

    Thanks for explaining why.

  • Derek S.

    3/4/2010 8:35:18 PM |

    Could you maybe elaborate a little?

  • Lori Miller

    3/5/2010 2:11:12 AM |

    Carbs cause blood sugar to rise. Indulge in excess carbs, and you can walk, run and bike till you drop and not lose an ounce.

  • Anonymous

    3/5/2010 2:27:50 PM |

    Awesome post Dr. Davis. I check my post-prandial BG constantly and have eliminated many so called low glycemic foods. ALso, nice simple explanation Lori.

  • TedHutchinson

    3/5/2010 2:53:27 PM |

    @ Larry said...
    I've never seen a conclusive study relating Diabetes and Pancreatic Cancer.
    Any thoughts on that ?

    It's not a straightforward connection, they are still arguing about it.
    This abstract suggests  
    the development of diabetes in subjects prone to pancreatic cancer could be a red flag for malignancy.

    And this full text article
    Is Type 2 Diabetes a Risk Factor for Pancreatic Cancer? explains why it's difficult to definitively identify type 2 diabetes mellitus as a risk factor for pancreatic cancer.

    Worth pointing out for those with Diabetes who are concerned about the threat of Pancreatic cancer that Metformin monotherapy carried the lowest risk of cancer. However that was comparing medical diabetes treatments, so didn't include people using Dr Bernstein's or similar approaches to controlling diabetes through diet, exercise.

    I found this paper Cancer as a metabolic disease worth studying. It's not specifically about pancreatic cancer. It makes the point that Reduced glucose availability will target aerobic glycolysis and the pentose phosphate shunt; pathways  required  for  the  survival  and  proliferation  of many  types  of  tumor  cells.
    Maybe it isn't just the risk of heart disease that is reduced by lowering circulating  glucose levels.

  • TedHutchinson

    3/5/2010 3:21:19 PM |

    @  Emily
    Please try to persuade your mum the glucose meter is an essential tool to understand which foods really raise BG levels.
    I thought, a bit like your mum, that because I followed a Low carb eating plan I wouldn't have a problem with high glucose.
    Only after readingTo get low-carb right, you need to check blood sugars did I get a meter and start checking.
    Despite eating almost exclusively low carb I was regularly spiking up to 199.8 ~ 11.1.
    Adding into my diet a variety of things to slow gastric emptying has reduced the height of 1hr after meal spikes and I've now gone a week under 133.2 ~ 7.4 and the trend is towards lower numbers mostly under 108 ~ 6

    I've not restricted my calorie intake nor am I able to exercise much but I have, unintentionally, lost weight. A month ago I was 168lbs and am now 163 lbs.

  • Steve

    3/5/2010 4:24:51 PM |

    I went out and bought a glucose meter yesterday.  I bought the one Dr. Davis recommended, the OneTouch mini purchased at Walgreens.

    In hindsight though, it turned out to be an expensive choice.  I had to buy the OneTouch test strips as well, and they are fairly pricey.

    For anyone considering buying a glucometer, buy the Walgreen's version.  I think it had a mail-in rebate, cost a bit less than the one touch, and also, the generic Walgreen's test strips are half as much as the One Touch.

    And thank you Dr. Davis for this great blog.

  • Elenor

    3/12/2010 3:07:36 AM |

    Consumer Reports magazine recommended the ReliOn Ultima and their strips. The meter is, like, $9 and the strips are very inexpensive (compared to "branded" ones). (I'm pre-diabetic.) I don't have any hesitation checking my b.g. anytime, because the strips are cheap.  (No insurance, I have to pay for all my supplies.)  If you have insurance but they limit your strips (as with my nephew, a Type 1), you can use the  cheap one to fill-in your testing.

  • Anonymous

    3/28/2010 6:26:15 PM |

    From my research and experimentation, the Accuchek Aviva shown in picture is the most accurate and precise meter currently available.  Over the long run, an accurate and precise meter will save you money and a lot of trouble, versus one whose results are not as reliable, and which forces you to test more.

    btw, most precision issues are due to the strips, and cheap strips will simply result in lots of unnecessary holes in your fingers if you're serious about knowing what's going on with BGs.

  • Anonymous

    6/21/2010 9:56:20 AM |

    thanks

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    1/2/2011 8:45:07 PM |

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  • visalus

    1/14/2011 2:59:06 AM |

    I wish that I can have all those weight loss tool. I am sure if I have all those my weight loss program is going to be more effective.

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Lipitor 80 mg

Lipitor 80 mg

I'm seeing more and more people taking 80 mg of Lipitor per day. For the most part, these are people who come in for another opinion after a stent or heart attack and are prescribed the drug during their hospitalization.

This practice is based on the results of the PROVE IT-TIMI 22 (PRavastatin Or atorVastatin Evaluation and Infection Therapy-Thrombolysis In Myocardial Infarction) trial, and the Reversal of Atherosclerosis with Aggressive Lipid Lowering (REVERSAL) trial, both reported in 2005. In the PROVE IT Trial, 4,000 people experiencing heart attacks were treated with Lipitor (atorvastatin), 80 mg, or Pravachol (pravastatin), 40 mg. There was a reduction in events like recurrent heart attack from 13.1% in the Pravachol group to 9.6% in the Lipitor group. In the REVERSAL Trial, the Lipitor group also showed no plaque growth compared to the Pravachol group, which did progress, with disease tracked by intracoronary ultrasound.

I believe that many of my colleagues took the bait. In a half-hearted effort to reduce events and trend towards better coronary plaque control, writing a prescription for 80 mg rather than a lower dose has become increasingly popular.

Some problems: Despite the favorable tolerance to high dose Lipitor in these trials, I don't know anybody who can tolerate 80 mg per day for more than a few months in real life. In my experience, people inevitably end up with intolerable muscle aches.

Also, I believe it is folly to believe that we can regress coronary plaque on a broad scale by just using one drug that addresses only a single cause (i.e., LDL cholesterol). Yes, drug companies would argue that the statin drugs are so wonderful because of their so-called "pleiotropic", or non-lipid, effects like reducing inflammation. I have seen regression of plaque once using Lipitor alone. We struggle to reduce coronary plaque using a multi-faceted approach. It is highly unlikely that Lipitor alone at a 80 mg dose will be sufficient in most people to regress plaque. How about lipoprotein(a)? Or vitamin D deficiency? Lipitor has no effect on these patterns and people do not regress just by taking statin agents.

Comments (4) -

  • Craig

    8/26/2009 8:08:35 PM |

    Can Kamagra and lipitor used at the same affects me ? I have heart related problem

  • buy jeans

    11/2/2010 8:49:42 PM |

    Some problems: Despite the favorable tolerance to high dose Lipitor in these trials, I don't know anybody who can tolerate 80 mg per day for more than a few months in real life. In my experience, people inevitably end up with intolerable muscle aches.

  • Anonymous

    1/24/2011 7:44:01 PM |

    As one who has taken Lipitor 80 over several years with no adverse results, including problems with liver function I disagree entirely with your statement.

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