Green coffee bean extract in AGF Factor I

Track Your Plaque's new and proprietary formulation, AGF Factor I, is designed to to support a program to achieve low levels of endogenous glycation.

Endogenous glycation, discussed at length in a recent Track Your Plaque Special Report, makes LDL particles (especially small LDL particles) more prone to oxidation and thereby more atherogenic, i.e., more likely to contribute to atherosclerotic plaque. Endogenous glycation also exerts unhealthy effects on long-lived proteins in the body, such as the proteins in the lenses of your eyes (cataracts), the lining of arteries (hypertension), and the cartilage cells of joints (brittle cartilage and arthritis).

Endogenous glycation is reduced by slashing carbohydrates in the diet, especially the most offensive carbohydrates of all, the amylopectin A of wheat, sucrose, high-fructose corn syrup and other fructose sources. Endogenous glycation can also be blocked by using blockers of the glycation reaction, such as benfotiamine (lipid-soluble thiamine), pyridoxal-5'-phosphate (a form of vitamin B6 with greater glycation blocking effect), and chlorogenic acid from green coffee beans, all components of AGF Factor I, which also contains Portulaca oleracea (Portusana), or purslane, for reduction of glucose.

Green coffee bean extract, and thereby chlorogenic acid, is receiving increased attention, most recently due to a study demonstrating substantial weight loss with 750-1050 mg green coffee bean extract, providing approximately 325-500 mg chlorogenic acid per day. Participants lost 15.4 pounds over 8 weeks at the higher dose (500 mg chlorogenic acid per day), while participants lost 8.8 pounds over 8 weeks at the lower dose (325 mg chlorogenic acid per day).

AGF Factor I was not formulated for weight loss but, taken twice or three times per day, does indeed mimic the dose of chlorogenic acid from green coffee bean extract used in the weight loss study. If you wish to take advantage of this application of chlorogenic acid/green coffee bean extract, while also maximizing protection from endogenous glycation, our AGF Factor I is one excellent choice to do so.

Lessons learned from the 2012 Low-carb Cruise

I just returned from Jimmy Moore's Low-carb Cruise, a 7-day excursion to Jamaica, Grand Cayman Island, and Cozumel aboard the Carnival Magic. During our 7 wonderful days, a number of authors and experts spoke, each offering their unique perspective on the low-carb world. The focus was the science, experience, and practical application of low-carbohydrate diets.

The event kicked off with a roast by Tom Naughton of Fat Head fame, who entertained with his insightful low-carb humor and predictions of my demise at the hands of Monsanto!

Among the most important lessons provided:

Dr. Andreas Eenfeldt of the Diet Doctor blog discussed how Sweden is leading the world as the nation with the most vigorous low-carbohydrate following, witnessing incredible weight loss and reversal of carbohydrate-related diseases way ahead of the U.S. experience. I spent several hours with Dr. Eenfeldt who, besides being an engaging speaker, is a new father and an all-around gentleman. At 6 ft, 7 inches, he also towered high above all of us.

Dr. Eric Westman of Duke University and author of The New Atkins for a New You, debunked low-carbohydrate myths, such as "low-carb diets are high-protein diets that make your kidneys explode."

Dr. John Briffa, creator of the popular blog, Dr. John Briffa: A Good Look at Good Health, and author of the wonderfully straightforward primer to low-carbohydrate eating, Escape the Diet Trap, stressed the importance of never allowing hunger to rule behavior. Dr. Briffa's serious writing tone conceals an incredible charm and wit that took me by surprise, having spent several thoroughly engaging hours over breakfast, lunch, and dinner with him over the week.

Fred Hahn, exercise expert, founder of Serious Strength and author of Slow Burn Fitness Revolution and Strong Kids, Healthy Kids, debunked a number of trendy exercise methods, boiling many of the purported benefits of exercise down to that of increased strength.

Dr. Chris Masterjohn of The Daily Lipid and supporter of the Weston A. Price Foundation program, provided a comprehensive overview of the data that fails to link saturated fat with heart disease. He also helped me understand the analytical techniques used in studies of advanced glycation end-products.

Denise Minger, brilliant young usurper of China Study dogma and blogger at Raw Foods SOS, proved an engaging speaker and a truly real person (since some critics of her analyses have actually questioned whether there was even such a person!). She also proved every bit as likable as she seems in her captivating blog discussions.

Dr. Jeff Volek, prolific researcher from University of Connecticut, author of over 200 studies validating low-carbohydrate diet effects, and author of the recently released book with Dr. Stephen Phinney, The Art and Science of Low Carbohydrate Living, debunked myths behind carbohydrate dependence and "loading" by athletes. He also talked about how assessing blood ketones may be the gold standard method to ensure low-grade ketosis on a long-term low-carb effort.

Over a bottle of wine, Jimmy Moore and I reminisced over how his modest start with no experience in blogging or media has now ballooned to an audience of over 100,000 readers/viewers.

All in all, Jimmy's Low-carb Cruise experience was worth every minute, with many wonderful lessons and memories!

Chili Sesame Crackers

Looking for something hot and crunchy?

These chili sesame crackers are perfect for dipping into hummus or salsa. As written, the recipe yields a moderately spicy cracker that you can modify readily by increasing or decreasing quantities of cayenne pepper and Tabasco sauce.

This recipe uses sesame seeds as the "flour." Either brown sesame seeds or the lighter version work, though the lighter seeds yield a slightly less bitter flavor with the spices.

For ease of baking, a shallow baking pan measuring 11 x 17 inches works best, as it allows the batter to fill the pan and spread to a cracker thickness. With a smaller pan, you may have to bake in two batches.

Makes approximately 30 chips

2 cups raw sesame seeds
1 cup shredded Parmesan cheese
2 tablespoons extra-virgin olive oil
1 tablespoon chili powder
½ teaspoon cayenne pepper
2 teaspoons onion powder
1 teaspoon garlic powder
1 teaspoon dry mustard
1 teaspoon sea salt
1 teaspoon Tabasco sauce
1¼ cups water

Preheat oven to 350º F.

In food chopper or food processor, grind 1¼ cups sesame seeds to fine meal. Remove and place in large bowl.

Place shredded Parmesan cheese in food chopper or food processor and pulse briefly until reduced to granular consistency. Add to sesame seed meal and mix. Stir in olive oil.

Add remaining (unground) sesame seeds, chili powder, cayenne pepper, onion and garlic powder, mustard, sea salt and mix thoroughly. Add Tabasco sauce and water and mix. Add additional water, if necessary, one tablespoon at a time, to obtain a consistency similar to pancake batter.

Pour mixture into baking pan and smooth to fill pan and obtain a thickness of a cracker. If too thick, remove some batter and re-smooth. Optionally, roll a clean cylindrical glass or bottle over top to smooth and yield a consistent thickness.

Bake for 30 minutes or until edges browned and center firm. If a dry, extra crunchy cracker is designed, bake an additional 10-15 minutes at 250 degrees F.

Remove and allow to cool. Cut with pizza cutter to desired size.

Opiate of the masses

Although it is a central premise of the whole Wheat Belly argument and the starting strategy in the New Track Your Plaque Diet, I fear that some people haven't fully gotten the message:

Modern wheat is an opiate.

And, of course, I don't mean that wheat is an opiate in the sense that you like it so much that you feel you are addicted. Wheat is truly addictive.

Wheat is addictive in the sense that it comes to dominate thoughts and behaviors. Wheat is addictive in the sense that, if you don't have any for several hours, you start to get nervous, foggy, tremulous, and start desperately seeking out another "hit" of crackers, bagels, or bread, even if it's the few stale 3-month old crackers at the bottom of the box. Wheat is addictive in the sense that there is a distinct withdrawal syndrome characterized by overwhelming fatigue, mental "fog," inability to exercise, even depression that lasts several days, occasionally several weeks. Wheat is addictive in the sense that the withdrawal process can be provoked by administering an opiate-blocking drug such as naloxone or naltrexone.

But the "high" of wheat is not like the high of heroine, morphine, or Oxycontin. This opiate, while it binds to the opiate receptors of the brain, doesn't make us high. It makes us hungry.

This is the effect exerted by gliadin, the protein in wheat that was inadvertently altered by geneticists in the 1970s during efforts to increase yield. Just a few shifts in amino acids and gliadin in modern high-yield, semi-dwarf wheat became a potent appetite stimulant.

Wheat stimulates appetite. Wheat stimulates calorie consumption: 440 more calories per day, 365 days per year, for every man, woman, and child. (440 calories per person per day is the average.) We experience this, sense the weight gain that is coming and we push our plate away, settle for smaller portions, increase exercise more and more . . . yet continue to gain, and gain, and gain. Ask your friends and neighbors who try to include more "healthy whole grains" in their diet. They exercise, eat a "well-balanced diet" . . . yet gained 10, 20, 30, 70 pounds over the past several years. Accuse your friends of drinking too much Coca Cola by the liter bottle, or being gluttonous at the all-you-can-eat buffet and you will likely receive a black eye. Many of these people are actually trying quite hard to control impulse, appetite, portion control, and weight, but are losing the battle with this appetite-stimulating opiate in wheat.

Ignorance of the gliadin effect of wheat is responsible for the idiocy that emits from the mouths of gastroenterologists like Dr. Peter Green of Columbia University who declares:

"We tell people we don't think a gluten-free diet is a very healthy diet . . . Gluten-free substitutes for food with gluten have added fat and sugar. Celiac patients often gain weight and their cholesterol levels go up. The bulk of the world is eating wheat. The bulk of people who are eating this are doing perfectly well unless they have celiac disease."

In the simple minded thinking of the gastroenterology and celiac world, if you don't have celiac disease, you should eat all the wheat you want . . . and never mind about the appetite-stimulating effects of gliadin, not to mention the intestinal disruption and leakiness generated by wheat lectins, or the high blood sugars and insulin of the amylopectin A of wheat, or the new allergies being generated by the new alpha amylases of modern wheat.

Jelly beans and ice cream

What if I said: "Eliminate all wheat from your diet and replace it with all the jelly beans and ice cream you want."

That would be stupid, wouldn't it? Eliminate one rotten thing in diet--modern high-yield, semi-dwarf wheat products that stimulate appetite (via gliadin), send blood sugar through the roof (via amylopectin A), and disrupt the normal intestinal barriers to foreign substances (via the lectin, wheat germ agglutinin)--and replace it with something else that has its own set of problems, in this case sugary foods. How about a few other stupid replacements: Replace your drunken, foul-mouthed binges with wife beating? Replace cigarette smoking with excessive bourbon?

Sugary carbohydrate-rich foods like jelly beans and ice cream are not good for us because:

1) High blood sugar causes endogenous glycation, i.e, glucose modification of long-lived proteins in the body. Glycate the proteins in the lenses of your eyes, you get cataracts. Glycate cartilage proteins in the cartilage of your hips and knees, you get brittle cartilage that erodes and causes arthritis. Glycate structural proteins in your arteries and you get hypertension (stiff arteries) and atherosclerosis. Small LDL particles--the #1 cause of heart disease in the U.S. today--are both triggered by blood sugar rises and are 8-fold more prone to glycation (and thereby oxidation).

2) High blood sugar is inevitably accompanied by high blood insulin. Repetitive surges in insulin lead to <em>insulin resistance</em>, i.e., muscles, liver, and fat cells unresponsive to insulin. This forces your poor tired pancreas to produce even more insulin, which causes even more insulin resistance, and round 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!

Diet by LDL

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.

Orange Cream Cookies

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.

Why are heart attacks still happening?

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

enjoy virtual elimination of risk.

My letter to the Wall Street Journal: It's NOT just about gluten

The Wall Street Journal carried this report of a new proposed classification of the various forms of gluten sensitivity: New Guide to Who Really Shouldn't Eat Gluten

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
To track small LDL, track blood sugar

To track small LDL, track blood sugar

Here's a trick I learned after years of fussing over people's small LDL.

To gain better control over small LDL, follow blood sugars (blood glucose).

When you think about it, all the foods that trigger increases in blood sugar also trigger small LDL. Carbohydrates, in general, are the most potent triggers of small LDL. The most offensive among the carbohydrates: foods made with wheat. After wheat, there's foods made with cornstarch, sucrose (table sugar), and the broad categories of "other" carbohydrates, such as oats, barley, quinoa, sorghum, bulghur, etc.

Assessing small LDL requires a full lipoprotein assessment in which small LDL particles are measured (NMR, VAP, GGE). Not the easiest thing to do in the comfort of your kitchen.

However, you can easily and now cheaply check your blood sugar. Because blood sugar parallels small LDL, checking blood sugar can provide insight into how you respond to various foods and know whether glucose/small LDL have been triggered.

Here's how I suggest patients to do it:

1) Purchase an inexpensive blood glucose monitor at a discounter like Walmart or Walgreen's. You can buy them now for about $10. They're even sometimes free with promotional offers. You will also need to purchase lancets and test strips.

2) With a meal in question, check a blood sugar just prior to the meal, then again 60 minutes after finishing the meal. Say, for example, your pre-meal blood sugar is 102 mg/dl. You eat your meal, check it 60 minutes after finishing. Ideally, the postprandial (after-meal) blood sugar is no more than 102 mg/dl, i.e., no higher than pre-meal.

Perhaps you're skeptical that oatmeal in skim milk with walnuts and raisins will do any damage. So you perform this routine with your breakfast. Blood sugar beforehand: 100 mg/dl. Blood sugar 1 hour post: 163 mg/dl--Uh oh, not good for you. And small LDL will be triggered.

This approach is not perfect. It will not, for example, identify "stealth" triggers of blood sugar and small LDL like pasta, for the same reasons that pasta has a misleadingly low glycemic index: sugars are released slowly and not fully evident with the one-hour blood sugar.

Nonetheless, for most foods and meals, tracking your one-hour postprandial blood sugar can provide important insight into your individual susceptibility to sugar and small LDL-triggering effects.

Comments (28) -

  • Anonymous

    12/23/2009 8:05:52 PM |

    Would glycated hemoglobin also be an accurate way to track small LDL? Just thinking it may be easier to get that tested, which should give a decent account of sugar intake for the past several months, than measure glucose daily. Although I'm not sure if it correlates to small LDL as well.

    But if so, what is an optimal glycated hemoglobin for non-diabetic types?

  • TeDWooD

    12/23/2009 10:59:14 PM |

    I liked what you put about the blood sugar being released slowly in meals like pasta. When you take you blood pressure test you should be very relaxed as well.
    I have wrote about blood pressure highs and lows in my blog, and what foods are recommended. You can find it here:
    http://thesuccessfulmale.blogspot.com/2009/11/stop-blood-pressure-highs-and-lows.html

  • Jim Purdy

    12/24/2009 1:26:58 AM |

    I have another tracking device which I like much better than my blood glucose meter

    A finger-tip pulse oximeter!

    I sometimes tend to have tachycardia and very unpleasant chest pains, and I have often used my finger-tip pulse oximeter to see what's going on.

    Until a few months ago, I would often have chest pains, emergency room visits, and one 9-1-1 ambulance call because I thought I was having heart attacks.

    All those ER visits got expensive, especially when the hospitals insisted on keeping me for 2-3 days each time to run zillions of dollars of tests.

    Often those attacks followed a greasy meal with something like bacon double cheeseburgers, and I "knew" that the fat was the culprit.

    However, after several low-carb bloggers directed my attention to the buns instead of the meat, I used my pulse oximeter to identify the problem foods.

    Yes, indeed, it was carbs, especially things like bread and -- much to my surprise -- ordinary breakfast cereals. I still miss my sandwiches and my Corn Chex, but I don't miss all those emergency room visits.

    I love my finger-tip pulse oximeter!

  • DrStrange

    12/24/2009 2:05:57 AM |

    Important to note that blood sugar monitors for home use are VERY approximate and are only accurate by plus/minus 20%.  Also, may vary widely between two readings taken seconds apart. I usually take 3 readings, bang bang bang, toss out any far outlier and average the what's left.  Still approximate but it makes me feel like it is more accurate ;)

  • Anonymous

    12/24/2009 2:20:43 AM |

    Wow, and this is news:

    http://news.bbc.co.uk/1/hi/health/8426591.stm

    -just in

    Another 'bad' cholesterol linked to heart disease found

  • Anne

    12/24/2009 8:15:49 AM |

    Dear Dr Davis,

    You have been writing about Lp(a) for years....why is it that the so called 'mainstream' medical profession appears only to have discovered it very recently ? Here in today's BBC news: 'Another 'bad' cholesterol linked to heart disease found':  http://news.bbc.co.uk/1/hi/health/8426591.stm

    Happy Christmas !
    Anne

  • vin

    12/24/2009 9:54:25 AM |

    Dr. Davis.
    If I am not mistaken I remember you saying that oats contributed to forming large LDL particles and not the small LDL.

    I am unable to find the article. Maybe you can reproduce that article.

  • Kurt

    12/24/2009 1:05:14 PM |

    I did this per your previous suggestion. I took one-hour and two-hour postprandial readings. My blood sugar never rose above 122, and was back down near fasting level after two hours. My diet contains a moderate amount of whole grains but almost no sugar and no refined grains.

    You could clearly see the difference between a meal of, say, salmon and vegetables, which barely raised my blood sugar above fasting, and one of chicken and brown rice, which would raise it to 110 - 120. It was a useful tool for assessing my diet.

  • Chloe

    12/24/2009 7:02:48 PM |

    Good information.  I have no health insurance and make too much money to qualify for public assistance, yet do not make enough to pay for many (close to all) tests.  I do participate in GrassRootsHealth for vitamin D (level from 7 to now 94), so I use anything at home I can to monitor what I can.

    The ReliOn Micro glucometer from Wal-Mart is a great little meter. It runs $12 for the kit which includes a few lancets and a lancing device.  The strips are the "sippy" kind and require the smallest sample on the market, just a dot of blood, and they are the least expensive strips on the market at $21.75 for 50 count.  I use them occasionally to track my own BG levels.

    Reason I purchased the meter?  The story is familiar:  Too many grain carbs recommended as the "good diet" which led to obesity and then diabetes.  That was my story, too, but the meter was purchased for my cat, Kipper.  The vets are in on this BS too.  All that expensive Eukanuba, Science Diet, vet prescribed grain diet and now my baby is a diabetic.  I regret listening to that for years.  

    I prick his ear twice a day, give him 1U of Levemir insulin, and then I check myself, occasionally.  Grains very, very bad.  Protein and fat very, very good.  Kipper's and my blood glucose levels are normal now, but he still needs insulin.  I am currently diet controlled.  Glad to know my diet control yields heart-healthy effects, too.

    Recently I had a yen for cherry tomatoes and overindulged.  We are talking about a cup more than usual.  Checked by meter this produced a 15 point increase over normal.  

    That cheap but reliable meter from Wal-Mart, if used (sometimes we turn off the internal prompt to check because we do not want to check) is a great tool and for me now a multipurpose tool.

  • Anonymous

    12/24/2009 7:29:10 PM |

    I'm concerned regarding this statement:

    "And the broad categories of "other" carbohydrates, such as oats, barley, quinoa, sorghum, bulghur, etc."

    In your Cheerios post

    http://heartscanblog.blogspot.com/2008/04/cheerios-and-heart-health.html

    you have actually touted oats by showing a study that pit it against wheat and it was shown to actually reduce LDL; this makes sense considering oats are a source of soluble fiber.

    "High-fiber oat cereal compared with wheat cereal consumption favorably alters LDL-cholesterol subclass and particle numbers in middle-aged and older men"

    http://www.ajcn.org/cgi/content/full/76/2/351

    Heres also a study that showed improved blood glucose response at breakfast that followed an evening in which barley was consumed:

    http://www.nature.com/ejcn/journal/v60/n9/abs/1602423a.html

  • Anonymous

    12/24/2009 9:28:39 PM |

    Noting that your readership is growing internationally, it might be useful for people to understand that the units of blood test measurement that are used quite frequently here in this blog are different in the US from most other places worldwide. These conversion factors may prove useful:

    Cholesterol (total,LDL,HDL): 38.7 (eg HDL of 60 mg/dl (US) is 1.55 mmol/L elsewhere)
    Triglycerides: 88.6 (eg reading of 60 mg/dl (US) is 0.68 mmol/L elsewhere)
    Blood Sugar: 18 (eg FBS of 90 mg/dl (US) is 5 mmol/L elsewhere)

  • Dr. William Davis

    12/24/2009 11:36:27 PM |

    Anon--

    The drawback of HbA1c is that the feedback is not immediate. You cannot use it to gain feedback on a particular food or behavior.

  • Dr. William Davis

    12/24/2009 11:38:04 PM |

    Chloe--

    I, too, learned this lesson with my pets. I have two Boston terriers who gained weight little by little on the cornstarch-first ingredient dog food I was feeding them. Now, choosing dog foods that are principally meat has finally allowed them to control their weight.

    I'm impressed with your cat's blood sugar checking!

  • Dr. William Davis

    12/24/2009 11:38:29 PM |

    Thanks for the conversion factors, Anon.

  • Vladimir

    12/25/2009 12:45:33 AM |

    Dr. Davis, I'm wondering if it's the total blood sugar that correlates with LDL, or the rise in blood glucose.  So, for example, if one has a fasting level of 95 and rises to 120 after a meal, is that better/worse than starting at 75 and rising to 105 -- in terms of increase in LDL?

  • Anonymous

    12/25/2009 7:11:36 PM |

    Jim Purdy,
    Can you give some details on how you use your fingertip pulse oximeter to identify problem foods?  What kind of readings do you see and when?  How do the readings correlate with high or low blood sugar?

    Thanks!

  • Peter

    12/26/2009 1:58:05 PM |

    Chloe,
       A friend of mine started giving his diabetic cat low carb catfood and the cat, now fine, went into insulin shock because her blood sugar had returned to normal unbenounced to my friend. Now, she is fine on no more insulin shots.

  • Jim Purdy

    12/26/2009 3:19:53 PM |

    Anonymous asked me:
    "Jim Purdy, Can you give some details on how you use your fingertip pulse oximeter to identify problem foods? What kind of readings do you see and when? How do the readings correlate with high or low blood sugar?"

    Sorry, I wasn't very clear. I use my pulse oximeter to track my pulse rate, which could also be done by a much cheaper blood pressure monitor. I use my pulse oximeter because I have it, and it is conveniently small.

    My pulse readings do correlate very well with my glucose meter readings for carbs, but  I don't really use it to directly track blood glucose, even though I have Type 2 diabetes. My most bothersome health symptoms are tachycardia and chest pain, and my pulse oximeter has helped me identify the problem foods, which are carbs and caffeine.

    As I said, my pulse readings correlate very well with my glucose meter responses for carbs, but my pulse oximeter also has the advantage of showing the effect of caffeine, which doesn't show up with my glucose meter.

    Also, my pulse oximeter shows my body's response almost immediately, whereas my glucose mete may take an hour or more.

    Thus, for me, with my concerns about tachycardia and chest pains, my pulse oximeter is much more useful than my glucose meter.

    Lest you think I got off topic, let me repeat that my pulse readings correlate closely with glucose readings, but much quicker.

    And again, a blood pressure monitor would give the same pulse information more cheaply.

    All this may apply only to me, or to diabetics who also have tachycardia. Everybody is different.

  • Anonymous

    12/26/2009 8:07:42 PM |

    Easily I assent to but I contemplate the brief should secure more info then it has.

  • Chloe

    12/27/2009 12:17:02 AM |

    Peter--Kip is on low carb, wet cat food once he was diagnosed in April (his 14th birthday!).  The vet wanted him on a prescribed mid-level carbohydrate food and an unbelievable amount of Vetsulin.  After finding www.felinediabetes.com, I started testing him, switched his food, and switched his insulin.  His BG levels run 40 to 120 (sometimes higher when he has a flare of pancreatitis) on 1U twice a day.  I have learned to keep shooting even when he runs normal sugars.  Congratulations to your friend for getting diet control.  I have been at this about 8 months with him and I am not sure he is going to go without insulin.  Still I am hopeful.  He has helped me on my diet though.  I can't cheat (really cheating myself) on mine anymore because I feel guilty about him AND since he often helps himself to my food I do not have anything he can't.  The household is strictly low carbohydrate: Meat, fat, and green vegetables. Glad to hear a good story about a cat becoming diet controlled. Human and feline we are all healthier these days.

  • Grandma S.

    12/27/2009 2:38:22 AM |

    Dr. Davis-How does the blood sugar rise correlate with taking Niacin and LDLs?  It raises my blood glucose levels, raises my HDL, and lowers my Trigl.  Thank you!

  • Anonymous

    12/27/2009 4:25:26 AM |

    Thanks Jim Purdy.  Just to clarify, exactly what are you seeing on your pulse oximeter when a food is "bad?"  For example, what is a good pulse reading and what is it when it is bad?  Do you track how long it takes to return to baseline?

    It is very interesting that it correlates with your glucose levels.  Are glucose levels high when your pulse is high and vice versa?  Even though the device is more expensive than a glucose monitor, you don't have the ongoing expense of the strips and of course don't have to stab yourself!  Of course a pulse oximeter wouldn't provide enough information for someone needing to treat diabetes but for those just curious about the effect of foods, it might suffice.

  • karl

    12/27/2009 4:42:40 AM |

    The question become is the small LDL the base risk factor or is it blood sugar (fructose?) .

  • Anonymous

    12/29/2009 3:53:23 PM |

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  • Anonymous

    1/17/2010 7:28:51 PM |

    I would also like further information about oats, I remember other posts in this blog that show oats as beneficial for reducing small LDL

  • Anonymous

    1/29/2010 7:33:32 AM |

    "Because blood sugar parallels small LDL, checking blood sugar can provide insight into how you respond to various foods and know whether glucose/small LDL have been triggered."

    I am very interested in pursuing this, but do you have a cite for this? I googled up small LDL particle size and didn't see anything about blood sugar being a good proxy for that, although I'm sure I missed seeing a lot.

    Also, I'm interested in more information on the effect of oats. I, too, have been under the impression that it is a healthy choice.

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    11/3/2010 10:24:34 PM |

    However, you can easily and now cheaply check your blood sugar. Because blood sugar parallels small LDL, checking blood sugar can provide insight into how you respond to various foods and know whether glucose/small LDL have been triggered.

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