Wheat-free pumpkin bread

Try this recipe for a wheat-free, gluten-free yet healthy "bread." Unlike many gluten-free foods that send blood sugar skyward, this will not.

Ingredients:
2 cups ground almond meal (Buy it from Trader Joe's--70% cheaper than other grocery stores.)
1/2 cup ground flaxseed
1/2 cup sour cream (full-fat, of course)
15 oz canned pumpkin (Trader Joe's is bisphenol A-free)
2 medium to large eggs
1/2 cup chopped walnuts or pecans
4 tablespoons butter, melted
2 teaspoons baking powder
2 teaspoons cinnamon
1 teaspoon nutmeg or allspice
Dash of salt
Choice of non-nutritive sweetener (I used 3 teaspoons Trader Joe's stevia extract powder, the one mixed with lactose. Two tablespoons of Truvia, 1/2 teaspoon of the more concentrated stevia extract, or 1/2 cup Splenda are other choices. You can taste the mixed batter to gauge sweetness if in doubt.)

Preheat oven to 350 degrees F. Grease baking pan (e.g., 10 x 6 inch). The pan should be big enough so that the mix will not be more than 2 inches deep, else it will require much longer to bake. (If you have only smaller pans, you will need to cook longer while the pan is covered with aluminum foil.)

Mix all ingredients thoroughly in large bowl. Pour mix into greased baking pan.

Cover with aluminum foil and bake for 30 minutes. Remove foil and bake for additional 30 minutes or until inserted toothpick or knife comes out dry.

Serve with cream cheese or as is.

(I'd have some pictures, but the kids and I ate it up before I thought to take any photographs.)

Vitamin D: Deficiency vs optimum level

Dr. James Dowd of the Vitamin D Cure posted his insightful comments regarding the Institute of Medicine's inane evaluation of vitamin D.

Dr. Dowd hits a bullseye with this remark:

The IOM is focusing on deficiency when it should be focusing on optimal health values for vitamin D. The scientific community continues to argue about the lower limit of normal when we now have definitive pathologic data showing that an optimal vitamin D level is at or above 30 ng/mL. Moreover, if no credible toxicity has been reported for vitamin D levels below 200 ng/mL, why are we obsessing over whether our vitamin D level should be 20 ng/mL or 30 ng/mL?

Yes, indeed. Have no doubts: Vitamin D deficiency is among the greatest public health problems of our age; correction of vitamin D (using the human form of vitamin D, i.e., D3 or cholecalciferol, not the invertebrate or plant form, D2 or ergocalciferol) is among the most powerful health solutions.

I have seen everything from relief from winter "blues," to reversal of arthritis, to stopping the progression of aortic valve disease, to partial reversal of dementia by achieving 25-hydroxy vitamin D levels of 50 ng/ml or greater. (I aim for 60-70 ng/ml.)

The IOM's definition of vitamin D adequacy rests on what level of 25-hydroxy vitamin D reverses hyperparathyroidism (high PTH levels) and rickets. Surely there is more to health than that.

Dr. Dowd and vocal vitamin D advocate, Dr. John Cannell, continue to champion the vitamin D cause that, like many health issues, conradicts the "wisdom" of official organizations like the IOM.

Large LDL counts, too

Chad is a 43-year old father of five kids.

Earlier this year, he developed chest pain that got worse and worse. He ended up with a total of five stents in all three coronary arteries. After a devastating experience with Lipitor that resulted from a ruptured tendon, he came to me for an option.

Chad's lipoproteins:

Slow Burn works

I have been impressed with the results I've been obtaining with Fred Hahn's Slow Burn strength training technique.

Because I have limited time to hang around the gym, any technique that provides outsized results in a limited amount of time, I have to admit, appeals to me. In past, I'd be lucky to squeeze in one or two strength training sessions per week, devoting the rest of the time to biking outdoors, biking on a sedentary bike (while playing XBox), jogging, or doing strenuous yard work like digging trenches and planting shrubs.

Over the years, I've gradually lost muscle, since the strength training effort suffered with my time limitations.

So Fred's time-efficient Slow Burn idea struck a chord. Having now done it with some regularity, usually 1-2 times per week since mid-September, I have gradually added back visible muscle. My Slow Burn workouts, involving 8-10 different movements, seem to have restored the muscle I've lost, with a very modest time effort.

It took a little getting used to. After Fred showed me how to do the movements--slow motion movement in both the "positive" and "negative" directions, with smooth, non-jerking transitions, one set per muscle group, each taken to muscle exhaustion--it left me unusually tired and sore the next day. This surprised me, given the limited time involved. Breathing is also very important; the usual exhale-during-the-positive, inhale-during-the-negative pattern is replaced by breathing freely during the entire set. I didn't get this at first and ended up with headaches that got worse with each set. Breathing freely relieved me from the effect.

I have strength trained since I was around 15 years old. Back in the early 1970s, I had about 2000 lbs of barbells and dumbbells in my garage in New Jersey, while also driving back and forth to the Morristown, NJ, YMCA to train with friends. The Slow Burn movements forced me to break habits established over nearly 40 years of conventional strength training.

I've also played around with mixing conventional movements with Slow Burn movements to keep it fresh. This also seems to work.

If you're interested in giving it a try, here's an animation that demonstrates what Slow Burn movements look like. Fred has also produced an excellent 3-DVD set of videos that more fully describe the practice.

Do your part to save on healthcare costs

While many of the factors that drive the relentless increase in health care costs are beyond individual control, you are still able to exert personal influence over costs. Just as in political elections, your one vote alone may not count; it's the collective effort of many people who share similar opinions that results in real change.

I just got the new monthly premium for my high-deductible health insurance: Up $300 per month, putting my family's total premium over $2000 per month---for four healthy people. (My son fractured his wrist playing high school hockey earlier this year; that may explain at least some of the increase.)

I'm going to shop around for a better deal. However, shopping is likely to only stall the process. It will not address the systemic problems with healthcare that continue to drive premiums up and up and up.

So what can you do to help keep costs down? Here are a few thoughts:

Never accept a prescription for fish oil, i.e., Lovaza. Just buy far less costly over-the-counter fish oil. I treat complex hyperlipidemias, including familial hypertriglyceridemia, ever day. I NEVER use prescription fish oil. A typical 4 capsule per day Lovaza prescription adds around $280 to $520 per month to overall health costs (though your direct out-of-pocket costs may be less, since you shove the costs onto others in your plan).

Never accept a prescription for vitamin D. Prescription vitamin D is the mushroom or invertebrate form anyway. Just buy the human (cholecalciferol, D3) form from your health food store or "big box" store. They yield consistent increases in 25-hydroxy vitamin D levels, superior to the prescription form. And they're wonderfully inexpensive.

Eliminate wheat from your diet. If there is a dietary strategy that yields unexpected and outsized benefits across a wide spectrum of health, it's elimination of this thing we're sold called "wheat," you know, the genetically-transformed, high-yield dwarf mutant that now represents 99% of all wheat sold. Blood sugar drops, pre-diabetics become non-prediabetics, diabetics reduce need for medication or become non-diabetic, cholesterol values plummet, arthritis improves, acid reflux and irritable bowel symptoms improve or disappear, just to mention a few. Wheat elimination alone, I believe, would result in incalculable savings in both healthcare costs and lives saved.

Be sure to obtain iodine. In the fuss to cut salt use, everyone forgot about iodine. Lack of iodine leads to thyroid disease, usually hypothyroidism, that, in turn, causes cholesterol values to increase, weight to increase, and heart disease risk to double, triple, or quadruple. Iodine supplementation is easy and wonderfully inexpensive.

Over time, I hope that all of us can help develop the effort to self-direct more and more of our own health. Our Track Your Plaque program has shown me that, not only can people take the initiative to direct aspects of their own health, they can do it better than 99% of doctors.  

I'm sure there are many, many other ways to help reduce costs. Any suggestions?

Fish oil: What's the difference?

Ultra-purified, pharmaceutical grade, molecularly distilled. Over-the-counter vs. prescription. Gelcap, liquid, emulsion.

There's a mind-boggling variety of choices in fish oil today. A visit to any health food store, or any "big box" store for that matter, will yield at least several, if not dozens, of choices, all with varying and often extravagant claims of purity and potency.

So what's the real story?

Given the analyses conducted over the years, along with my experience with dozens of different preparations, I believe that several conclusions can be reached about fish oil:

Fish oil is free of contamination with mercury, dioxin, PCBs, or furans. To my knowledge, only one fish oil preparation has been found to have a slight excess of PCBs. (This is different from cod liver oil that has been found by one source to have a slight excess of PCBs.)

Oxidative breakdown products differ among the various brands. Consumer Lab (http://www.consumerlab.org/), for instance, has found that several widely available brands of fish oil contained excessive oxidative breakdown products (TOTOX). You can perform you own simple test of oxidative breakdown products: Sniff it. Your fish oil should pass the "sniff test." High quality fish oil should smell non-fishy to lightly fishy. Rancid fish oil with excessive quantities of oxidative breakdown products will smell nasty fishy.

FDA approval does not necessarily mean greater potency, purity, or effectiveness. It just means that somebody assembled the hundreds of millions of dollars to obtain FDA approval, followed by lots of marketing savvy to squash the competition.

This means that there are a number of excellent fish oil products available. My favorites are the liquid fish oils from Pharmax, Nordic Naturals, and Barleans. Capsules from Carlson, PharmaNutrients, and Fisol have also performed consistently. The "big box" capsules from Sam's Club and Costco have also performed well and are wonderfully affordable.

Wheat-free pie crust

I've been working on wheat-free yet healthy recipes these past two months.

You can buy wheat-free, gluten-free foods at the store, of course. But the majority of these products are unhealthy because cornstarch, rice starch, potato starch, or tapioca starch are commonly used in place of wheat. Recall that these are among the few foods that increase blood glucose higher than even wheat.

Here's a simple recipe for wheat-free pie crust that works best for cheesecake, pumpkin pie, and cream pies, but not for berry or other fruit pies like apple.

You will need:
?
1½ cups ground pecans
6 tablespoons melted butter?or melted coconut oil
1 teaspoon vanilla extract?
2 teaspoons cinnamon
1 medium egg
2 tablespoons Truvia™ or ½ teaspoon stevia extract or ½ cup Splenda®

Mix all ingredients thoroughly in bowl. Pour mixture into pie pan and press onto bottom and sides.

Fill pie crust with desired filling. You can fill it with your favorite cheesecake recipe (e.g., Neufchatel or cream cheese, sour cream, eggs, vanilla, and stevia; add pumpkin for pumpkin cheesecake) and bake, usually at 350 degrees F for one hour. 

Yes, the butter provokes insulin and artificial sweeteners can trigger appetite. But, for the holidays, a slice or two of pie made with this crust will not increase blood sugar nor trigger the uncontrolled impulse eating that wheat crust will trigger.

Have a cookie

Here's a great insight dating all the way back to 1966 from one of the early explorations in lipoproteins from the National Institutes of Health lab of Levy, Lees, and Fredrickson:

The nature of pre-beta (very low density) lipoproteins

The subject is a 19 year old female (among the total of 11 in the this small, diet-controlled study) who was first fed a low-carbohydrate (50 grams per day), low-cholesterol diet; followed by a high-carbohydrate (500 grams per day), low-fat (5 grams per day) diet.






To B or not to B

Apoprotein B (apo B) is the principle protein that resides in LDL particles along with other proteins, phospholipids, triglycerides, and, of course, cholesterol.

There's a curious thing about apo B. Just like one child per family in China or one television per household in 1950s America, there is only one apo B for every LDL particle.

So measuring apo B, in effect, provides a virtual count of LDL particles. (Actually, VLDL particles, the first lipoprotein to emerge from the liver, also have one apo B per particle but LDL particles far outnumber VLDL particles.) While apo B structure can show limited structural variation from individual to individual, the effect on measured apo B is negligible.

One apo B per LDL particle . . . no more, no less. What about the other components of LDL particles?

The other components of LDL particles are a different story. Cholesterol and triglycerides in LDL particles vary substantially. Diet has profound effects on cholesterol and triglyceride content of LDL particles. A diet rich in carbohydrates, for instance, increases triglycerides in LDL particles while reducing cholesterol. This means that measuring cholesterol in the LDL fraction will be misleading, since cholesterol will be falsely low. LDL cholesterol is therefore a flawed means to assess the behavior and composition of LDL particles. In particular, when LDL particles become enriched in triglycerides, they go through a process that transforms them into small LDL particles, the variety most likely to cause atherosclerosis.

In other words, when the worst situation of all--an abnormal abundance of small LDL particles develops--it is usually not signalled by high LDL cholesterol.

Because apo B is not sensitive to the composition of LDL particles--high cholesterol, low cholesterol, high triglycerides, etc.--it is a superior method to characterize LDL particles. While apo B doesn't tell you whether LDL particles are big, small, or in between, it provides a count of particles that is far more helpful than measuring this deeply flawed thing called "LDL cholesterol."

(Even better: Count LDL particles and measure LDL size, since size gives us insight into sensitivity to oxidation, glycation, adhesiveness, ability to trigger inflammatory pathways via monocyte chemoattractant protein, various interleukins, tunor necrosis factor and others. This is why cholesterol panels should go the way of tie dye shirts and 8-track tapes: They are hopelessly, miserably, and irretrievably inaccurate. Cholesterol panels should be replaced by either apoprotein B or lipoprotein measures.)
Incurable wheataholics

Incurable wheataholics

Greg slumped back in his chair.

"I'm sorry, doc. I feel like the world's biggest schlump!"

He was referring to the fact that he had gone wheat-free for two months--eliminated all breads, bagels, donuts, pasta, breakfast cereals, crackers, pretzels--and promptly lost 30 lbs. He felt great, discovered new levels of energy he thought he'd lost long ago.

Then some friends convinced him to have some cheeseburgers at a fast food restaurant.

"After that, it was downhill. I couldn't get enough. My wife made chile and I had to have four slices of bread with it. Then I'd have two more. I just couldn't stop."

Now, having regained the 30 lbs in the space of another two months, Greg was expressing his disgust.

And it's not the first time. Greg has struggled with his wheat-alholism for as long as I've known him. I've tried motivating him by showing him the flagrant lipoprotein patterns that his wheat habit and excess weight caused: markedly elevated LDL particle number, severe small LDL, low HDL, high triglycerides, high C-reactive protein, high blood sugar, high blood pressure. Greg has received a total of 7 stents over the past 5 years. His next stop is the operating room for a bypass if he can't bring his patterns and impulses under control.

But for some reason, Greg seems to always return to the wheat trough, gorging on breads, pretzels, cake, often in great quantities.

I'm not entirely sure what to do with someone with Greg's severe degree of wheat-aholism. I view wheat-aholism as similar to alcoholism. For some, it can be as addictive.

The only strategy that I know can work is to make a clean break and drop wheat products altogether. Just as an alcoholic cannot just satisfy him/herself with a drink or two a day, so a wheataholic can't be satified with just a couple of wheat crackers. It inevitably leads to the avalanche of wheat indulgences.

Perhaps we should form a new group: Wheataholics Anonymous. "Hi. My name is Greg and I'm a wheataholic."

Comments (22) -

  • Anonymous

    11/2/2007 12:19:00 PM |

    In the past if someone came to me and said they are a wheat addict, I guess I say there are worse things to be addicted to - but I can't say that anymore.  

    On a different topic, but along the same lines, what did your family do for Halloween?  I didn't want to hand out candy so I found some oily nuts in packets to give away, but didn't feel comfortable with that either since the nuts were cooked in oil and salted.

  • Anonymous

    11/2/2007 6:53:00 PM |

    I'm also a wheataholic. But you must find substitutes, and I'm not talking about using high-glycemic rice or corn in its place. I'm talking about using bulk products like a teaspoon of glucomannan and/or salba once a day, or no more than two Betty Lou's nut butter balls a day as a snack. The carb count must be counted each day and it must be low, therefore it's a restricted carb diet. Suprisingly a full serving of oat bran or meal is probematic, so stay away. If the family members must eat wheat products, it must always be eaten away from the presence of the wheataholic. There can be no wheat products in the home. Finally the wheataholic must have something to live for.

  • Adoka

    11/2/2007 10:33:00 PM |

    Doc, That is the exact attitude I have.  I call myself a carbaholic though but I think your term is more accurate as I can eat veggies like green beans but the bread products are verboten.  I followed Atkins a couple years ago and dropped 90 pounds.  Then I happened to see TCBY had a low cab treat and then it was on.  Fried chicken, then the sandwiches and the cakes and pies followed.  It wasn't a slippery slope.  It was an ice slope.  I finally got back on track the begining of last month.  I feel great.  My bp dropped a bit, and I have lost 35 pounds.  The bread and sugar will kill you.

  • Anne

    11/3/2007 12:13:00 AM |

    I was a wheataholic. In fact a few years ago I said "If I ever have to give up bread, you might as well kill me." I said that at a time I went on a very low fat diet to "help my heart" after I got my first stent. I ate bread/wheat for every meal and every snack. Little did I know how sick it was making me. Turns out, I am sensitive to wheat, barley and rye (gluten). After 4 years of living without wheat, and regaining my health,  I can truly say I don't miss it. anymore.

  • Dr. Davis

    11/3/2007 12:47:00 AM |

    I have to admit that our youngest did go trick or treating, but we just encourage him to eat only a small quantity of his booty now and then. We handed out the usual, gummy body parts. Oh, well.

  • jpatti

    11/3/2007 4:00:00 AM |

    For the commenter who complained about oat bran being too carby, you can dilute it with other stuff.  Following is my "power cereal" recipe; I have this for breakfast 4 or 5 times each week.  

    For 17 servings, mix together:

    2 cups almond meal (about 1/2 lb)
    2 1/2 cups flax meal (about 1/2 lb)
    1 3/4 cups raw wheat germ (about 1/2 lb)
    2 cups oat bran (about 1/2 lb)
    2 1/2 cups unflavored, unsweetened milk isolate protein powder (about 1/2 lb)
    1 cup soy lecithin granules (about 1/4 lb)
    1 cup cinnamon (about 1/4 lb)

    Mix and store in a tightly-closed container in fridge.  

    When ready to serve, mix 3/4 cup of cereal with boiling water to desired consistency then stir in a tablespoon of heavy cream.  

    Each serving (with cream) contains 28g total carb (13g from fiber, so net is 15g), 23g protein, 25g fat (almost all  good fats) and around 400 kilocalories.

    WAY lower-carb than 3/4 cup of rolled oats at 42g carb, 8g fiber, net 34g or oat bran at 47g total & 11g fiber for net 36g.

    Plus for your 15g net carb, you're getting your daily almonds, omega3s from flax, a bunch of micronutrients and fiber, phosphatidyl choline for your brain, a good bit of protein, and cinnamon which might possibly be good for blood glucose control (research is unclear, but the stuff is yummy anyways!)  You'd be hard put to have a healthier breakfast cereal than this and it's very yummy... nutty and creamy and cinnamon-y.

  • Dr. Davis

    11/3/2007 12:33:00 PM |

    Thanks, jpatti. Sounds delicious. I am going to post this mix our Track Your Plaque Forum recipes.

  • Anonymous

    11/3/2007 1:02:00 PM |

    I have told my Dr for yrs I am a carb alcoholic and she laughs and says there is no such thing. I know me, I am fine if I low carb using veg and salad as means of carb, as soon as I tried sweet low carb bars, breads, ice cream I craved like heck and would not be able to stop until I went thru a few days of filling my face with carbs then would feel so ill, heavy, headaches and tired I looked forward to going back on low carb.

    I am learning I cannot go there,( actually I know I cannot go there but in times of high stress or weakness sometimes I do go there and am really sorry after, just like a boozer) (BTW the alcoholic gene is rampant in my family, I just chose food instead of booze)

    I would prefer to eat breads and cereals all day without ever veg or protein so I have to to let that go as it kills me.I am better at it and rarely fall off the wagon anymore.


    For cereal:I just grind some flaxseed in my coffee grinder, add big spoon of cinnamon as it makes it sweet as well as the possibility if lowers my bg,  boil the kettle, add hot water, not much as it gets too slimy, then add some fresh blueberries or strawberries, depending if bg is low normal, add a few tablespoons of heavy cream and it is an awesome brekkie, way lower in carbs as oat bran makes me need a shot of insulin.

    I bought some low carb flour( soy) from a baker in Calgary who took a course from Atkins the month before he died.

    I never have used it and would like too but fear it may raise my bg.

    Guess I can only bake something and test afterward.

    I make muffins grinding flaxseed, bit of almond flour( too pricey), a few eggs, bit of cream cheese, some olive oil, cinnamon, bit of grated chocolate, walnuts,protein powder,vanilla, they are dense and heavy but good with chunk of cheddar for brekkie or lunch and my bg does not rise.

  • Dr. Davis

    11/3/2007 7:01:00 PM |

    You make an excellent point: Even among non-wheat grains, flaxseed is superior to oat bran with regards to its sugar release. I also prefer ground flaxseed.

  • Bix

    11/4/2007 12:20:00 PM |

    Regarding the "ice slope"  Smile

    I have a feeling that the body will try to restore depleted glycogen, such as is seen while adhering to a ketogenic diet.  The introduction of quickly-absorbed carbohydrates sets the metabolic process in action to do just that, restore depleted glycogen.  And you end up with maybe an additional 6, 8 or 10 pounds.

    However, most of that new weight is glycogen and water, not fat.  If you can anticipate the weight gain from a few days of high-carb eating, and know that it's just glycogen and fluid, not fat, it may be easier to return to a lower-carb pattern.  Just a thought!

  • Anonymous

    11/5/2007 3:37:00 AM |

    It seems to me that unless you are dealing with an officially diagnosed allergy; that banning wheat will lead to a binge. I think we need to learn limits, portions, pleasure of meals and family,exercise-- a full life. Take some of this attention off "bad" vs "good" food.

  • Dr. Davis

    11/5/2007 4:13:00 AM |

    Sorry, but I believe that you are flat out wrong.

    You'd simply have to personally witness the flagrant and enormous progression of heart disease that I see when people fail to control factors like small LDL and high triglycerides, all triggered by wheat. One fatal heart attack is enough to teach you some important lessons about "limits."

    This has nothing to do with "balance" or "moderation," but with control and reversal of heart disease. "Balance" is the term used by the misinformed who subscribe to the lukewarm advice offered by those lacking sufficient courage  to declare what is truly effective vs. what is politically correct.

  • Anonymous

    11/5/2007 1:32:00 PM |

    OK, I get your point. But how do many cultures incorporate wheat (Italy and France for two) and don't seem to have all these issues? It seems in America we have come up with all these problems around food and in many cultures they just eat drink and be merry and live a long life. That is all I am saying. They seem to have a culture of food and we have a culture of diets, just observing this.

  • Dr. Davis

    11/5/2007 3:30:00 PM |

    I don't have an entirely satisfactory answer. Part of the difference is less reliance on processed junk foods in those cultures. Another is the increased physical activity and overall less total calories. Is that sufficient explanation? That I'm not sure about.

  • gc

    11/5/2007 4:25:00 PM |

    .......right on Dr D. when i hear all these folks spouting moderation, balance etc I think ya well it may be fine for you but not me.

    As a diabetic who ate the balanced diet of a DE for 15 yr and gained weight, got hi chol and even higher A1C and had to add on tons and tons of insulin to eat balanced..... I learned very quickly after eliminating wheat and going low carb and watching my blood work fall and my A1C become non diabetic in measurement( it will rear its ugly head if i go back to balanced and wheat).
    No one can tell me different now after 4 yr of low carbing, sure I love grains, but my body doesn't process them.

    When I was diagnosed in 1994 I was sent to see a sspecialist who was traveling Canada doing research for the CDA. She said when I walked into her room, without even an assessment, you are allergic to wheat, you have diabetes and your ancestors all came from north of Siberia many centuries ago.

    I thought "you are a quack". I was working on uncovering emotional abuse in the workplace, traveling all over doing presentations and when she discovered what type of work I did she disclosed her story to me about her colleagues who were trying to shut her up about wheat, how those in her office eventually shoved her out of practising and how all her research had been stolen.

    I believed this immediately as I had done hundreds of interviews on people living with emotional abuse in the workplace so I began to beleive her.

    I knew the pattern and she described it right on without knowing the pattern.

    I wish  I had listened to her, my doc convinced me she was wrong and not to listen to her as she is "off in left field".

    I know many docs who take a stand out side the box now get shafted by their peers and are often not accepted nor treated very nice.

    Look even at Freud and how he changed his research to make the other pychiatrists happy as they shunned him and his findings initially,  and how it labeled women unfairly for decades.


    Now a decade later I could tell this research doc, "you know what....you were exactly right, my ancestors did come form Siberia many yrs ago, we did eat only protein/fats and grains has affected almost all my family in a negative way, yes I can't eat wheat and my fat belly was due to carbs or anything white I ate".

    Now for 4 yr I low carb, I don't have a fat belly, I don't eat wheat or white except cauliflower and my blood work reflects that of a non diabetic.

    So think twice before you say balance and moderation, doesn't work for me anymore.

    Obviously it doesn't work for Dr D patients either or he would never begin to think outside the box, do the research he did, write a book and expose himself to scorn from his peers unless he absolutely saw this over and over and over.


    His work would have been easier to follow the typical non researched approach of balanced and moderation, thats what our food guides are doing and its making an obese nation.

  • Dr. Davis

    11/5/2007 6:42:00 PM |

    I couldn't have said it better myself.

    I personally share this same pattern with you and know both from personal experience, as well as that of many patients, just how severe it can be.

  • Rick

    11/5/2007 11:13:00 PM |

    I've never paid much attention to things like low carb breads because I figured they'd be wretched in both taste and texture.  Just this past weekend I experimented with this flaxseed recipe I found on the web and was amazed.  It's easy to make, tastes pretty good and doesn't fall apart.  Even my wheataholic wife approved.  New worlds are opening up.

    Here it is.

    INGREDIENTS:

        * 2 cups flax seed meal
        * 1 Tablespoon baking powder
        * 1 teaspoon salt
        * 1-2 T sweetening power from artificial sweetener
        * 5 beaten eggs
        * 1/2 C water
        * 1/3 C oil

    PREPARATION:
    Preheat oven to 350 F. Prepare pan (a 10X15 pan with sides works best) with oiled parchment paper or a silicone mat.

    1) Mix dry ingredients well - a whisk works well.

    2) Add wet to dry, and combine well.Make sure there aren't obvious strings of egg white hanging out in the batter.

    3) Let batter set for 2-3 minutes to thicken up some (leave it too long and it gets past the point where it's easy to spread.)

    4) Pour batter onto pan. Because it's going to tend to mound in the middle,you'll get a more even thickness if you spread it away from the center somewhat, in roughly a rectangle an inch or two from the sides of the pan (you can go all the way to the edge, but it will be thinner).

    5) Bake for about 20 minutes, until it springs back when you touch the top and/or is visibly browning even more than flax already is.

    6) Cool and cut into whatever size slices you want. You don't need a sharp knife - I usually just cut it with a spatula.

    At 12 servings, each piece of bread has less than one gram of carbohydrate - .8 to be exact - plus 5 grams of fiber.

    http://lowcarbdiets.about.com/od/breads/r/flaxbasicfoc.htm

  • Dr. Davis

    11/6/2007 12:15:00 AM |

    It sounds fabulous!

    I'm going to try making it myself. Thanks, Rick.

  • Anonymous

    11/6/2007 7:32:00 PM |

    Hello,

    I'd first like to thank Dr. Davis for his blog, as it provides a lot of useful information.

    I have a question regarding wheat. If it's wheat itself that is dangerous, and not it's glycemic index entirely, are there any non-wheat breads or pastas considered safe to eat? I'm not talking about gorging on breads, as almost any will have some sugars, but are there any brands out there made just from barley, quinoa, oats or some other healthy grain?

    I have greatly reduced my carb intake, as well as wheat intake, but I still occasionally eat low-carb wheat bread. I'd be great to find a substitute out there. Perhaps a gluten-free bread/pasta?

  • Dr. Davis

    11/6/2007 10:30:00 PM |

    There are several low- or no-carb breads available. Jimmy Moore lists some of these products on his Livin' la Vida Lo Carb blog. Ezekiel bread is another. There is also an interesting comment on this post above that I've not personally tried, but sounds wonderful.

  • Anonymous

    11/7/2007 1:00:00 AM |

    Thanks for the link to Livin' la Vida Lo Carb blog. It seems I am already eating one of the brands he recommends, Arnold's carb counting bread, with a net of 6 carbs a slice.

    But... I guess my question is, is this product considered okay in moderation, since it still contains wheat? Would a higher carb bread (like Ezekiel, which still has sprouted wheat, but no wheat flour) be better for our lipid numbers? It comes down to, is it wheat itself, or the carbohydrates, that cause the real problem? Or both?

  • Dr. Davis

    11/7/2007 1:28:00 AM |

    The intensity and importance of this diet change depends to a great deal on patterns like small LDL, high blood sugar, and high triglycerides. So, the short answer--it depends. Some people don't benefit at all while others benefit enormously.

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