American Heart Association diet makes a monkey out of you

Heart Scan Blog reader, Roger, brought this New York Times article to my attention.

In an effort to develop a better experimental model for obesity than mice, scientists have turned to monkeys and other primates. The emerging observations are eerily reminiscent of what you and I witness just by going to the local grocery store or fast food outlet:

"'It wasn’t until we added those carbs that we got all those other changes, including those changes in body fat,' said Anthony G. Comuzzie, who helped create an obese baboon colony at the Southwest National Primate Research Center in San Antonio."

"Fat Albert, one of her monkeys who she said was at one time the world’s heaviest rhesus, at 70 pounds, ate “nothing but American Heart Association-recommended diet,” she said."

Yes, indeed: The American Heart Association diet makes monkeys fat. Extrapolate this a little higher on the evolutionary ladder and guess what?

This is one of the many reasons why, when I have a patient who is counseled by the hospital dietitian on the American Heart Association diet, I advise them to 1) ignore everything the dietitian told them, and then 2) follow the wheat-free, cornstarch-free, sugar-free, whole food diet I advocate.

Not unexpectedly, much of this primate research is not being devoted to just manipulating diet to achieve weight loss and health, but to develop new drugs to "treat" obesity.

Would you like a banana?

Comments (38) -

  • Anonymous

    2/21/2011 3:48:54 AM |

    Back in 2004 I was seeing a Cardiologist because of AFib (since "cured" by an ablation).  The good Doctor wanted to put me on a Statin for reasons having to do with unexplained multiple "risk factors". Not being a big fan of legal drugs, I asked if I could try diet first. He said, "Sure, you can try the American Heart Association diet but...it never works".  Undaunted I tried it anyway and sure enough 3 months later I had gained 15 lbs and my LDL was even higher (I couldn't stop eating).  BTW, I quit the Statin 2 years ago and have been Paleo since. - Jay

  • Sara

    2/21/2011 5:29:27 AM |

    No thank you,
    bananas spike my glucose above 140, he he!!!

  • Anonymous

    2/21/2011 8:56:27 AM |

    I think you are taking the article completely out of context. The monkeys were on the American Heart Association diet and then they added in high frutcose corn syrup. The monkeys got fatter because of the carbs from the corn syrup, not from the AHA diet. Personally I am paleo, but you are pulling a Glenn Beck here.

  • Aerobic1

    2/21/2011 3:28:48 PM |

    The point is not whether HFCS or wheat was the cause, but rather that all simple and refined carbohydrates will create the pot belly that Shiva and most of Americans have.  The animal cruelty police should spend their efforts in Washington protesting the plethora of garbage advice that is forced on us by organizations like the AHA and cut their funding.  By doing so, it will have a significant positive impact and help reverse the upward trends of obesity, diabetes and heart disease that your tax dollars go to perpetuate.  The AHA is one of the most corrupt and lobbied groups by special interests agriculture, the same folks who bring you the refined carbs.  Once the agriculture industry checks clear in the AHA bank account, the AHA "heart Healthy" seal of approval is on the box.  If you bother to look most of the AHA "Heart Healthy" cereals have refined cereals grains and high fructose corn syrup.

  • Anonymous

    2/21/2011 4:35:17 PM |

    Researchers in England and Singapore have developed a device which can assess the risk of heart disease.

    http://insideireland.ie/2011/02/21/watch-like-device-to-assess-heart-disease-risk-9317/

  • Anonymous

    2/21/2011 6:08:36 PM |

    I have followed this blog for sometime. I do appreciate Dr Davis's efforts and the comments made in the blog.
    But I think he needs to address the criticisms made in the previous blog entry. Completely ignoring the comments and questions and moving onto a new topic seems to point toward an unseemly arrogance and a lack of respect for the readers.

  • jean

    2/21/2011 6:41:17 PM |

    Um, click on the link, but prepare for a very sad sight, the poor guy, (or girl) looks miserable.

  • Anonymous

    2/21/2011 7:28:25 PM |

    What's Dr. Davis' alternative to AHA? Is it in a book or something?

  • Anonymous

    2/21/2011 8:23:41 PM |

    As an alternative to the AHA and the ADA dietary guidelines,see Jenny Ruhl's two sites for a start.

    Blood sugar 101
    http://www.phlaunt.com/diabetes/

    Low carb dieting
    http://www.phlaunt.com/lowcarb/index.php

  • Anonymous

    2/22/2011 12:13:08 AM |

    To all the entitled anonymous douchebags, if you don't like what Dr. Davis says in his blog leave! Dr. Davis doesn't work for you.

  • Anonymous

    2/22/2011 12:35:43 AM |

    Two weeks after no dairy, no wheat and some really delicious juicy steaks I am five pounds lighter and feel great.
    I don't give a rip what my lipids are because I am not going to do anything any differently anyways!

    Blood sugars never break 100.

  • Drs. Cynthia and David

    2/22/2011 1:07:42 AM |

    @second Anonymous- try reading the article before criticizing Dr. Davis for mischaracterizing it.  You'll see he was correct.

  • Lori Miller

    2/22/2011 1:20:03 AM |

    @Anonymous #2, the group on the HFCS drinks (among other things) and the group on the AHA diet were two different groups of monkeys:

    "Dr. Grove [of Oregon Health and Science University] and researchers at some other centers say the high-fructose corn syrup appears to accelerate the development of obesity and diabetes....

    “'It wasn’t until we added those carbs that we got all those other changes, including those changes in body fat', said Anthony G. Comuzzie, who helped create an obese baboon colony at the Southwest National Primate Research Center in San Antonio.

    "Still, about 40 percent do not put on a lot of weight.

    "Barbara C. Hansen of the University of South Florida said calories, but not high fat, were important. 'To suggest that humans and monkeys get fat because of a high-fat diet is not a good suggestion', she said.

    "Dr. Hansen, who has been doing research on obese monkeys for four decades, prefers animals that become naturally obese with age, just as many humans do. Fat Albert, one of her monkeys who she said was at one time the world’s heaviest rhesus, at 70 pounds, ate 'nothing but an American Heart Association-recommended diet', she said."

    The article goes on to refer to the first diet as "high fat," even though it's only 33% fat, and the way the article is written, it's hard to tell the groups apart.

  • Might-o'chondri-AL

    2/22/2011 1:49:54 AM |

    Take the banana; a banana a day for one year offers hormetic (small bit of bad does good) low dose radiation of +/- 3.6 milli-rems for the entire year. Low dose radiation boosts the cytokine activity of NK (Natural Killer), the tumor stopper. A chest x-ray doses out 10 milli-rems by comparison.

    Potassium Kiss, found in bannanas, is 0.0118% K40 isotope potassium. It emits mostly gamma radiation (when proton snags an extra electron) and some beta particles (when neutron mass spins off an electron and neutron becomes a proton); which are "slow" in collision with things, like a cell.

  • Anonymous

    2/22/2011 2:00:22 PM |

    To a recent "Anonymous":

    Dr Davis does have have an obligation to his readers. By convention, he is expected to explain himself and respond to polite and appropriate questions regarding his blog. That is why the interaction is provided, and he seems usually to encourage the dialogue. Dr Davis could have just as easily established this blog without the interactive feature. Currently, among usual glowing reader comments and often enlightening questions has come some criticism. His response to this criticism is what is currently lacking ... of course, this is only my opinion.

    By the way, I am not exactly sure what "entitled anonymous douchebags" have to do with anything.

  • John Townsend

    2/22/2011 3:11:15 PM |

    RE: “blah blah ... completely ignoring the comments and questions and moving onto a new topic seems to point toward an unseemly arrogance and a lack of respect for the readers.” by anonymous.

    Fortunately, commentary on this excellent blog is for the most part constructive and informative. However a comment like this is frankly annoying because it’s mean-spirited, disingenuous, cowardly, and clearly not helpful. The poster is not obliged to read this blog, let alone dump on it like this anonymously!

  • Misty

    2/22/2011 4:13:12 PM |

    Interesting!  I have been advising a woman who works in a chimpanzee sanctuary in the North West.  There is one chimp who had blood sugars of 1000.  

    Sadly, they have put this chimp on Crystal Light and Tofu as a remedy.  

    Chimps share 99% DNA with humans.  We know that aspartame and soy are both dangerous to the human body.  

    The most interesting thing is, she rebelled when her goodies were taken away.  

    They too are addicts just like us.

  • Flavia

    2/22/2011 7:20:22 PM |

    You're the only doctor I trust. The more i see the changes in my BP and overall health following your advice, plus the more I learn about what should first be done to treat hypertension, the more pissed off I get.
    What jerk puts a young woman on atenolol without even asking for some tests or if she eats too much salt or if she's wound high at the dr's office!!?? What the hell!?

    BTW, my blood pressure has dropped even more- an average of around 121/81- from 151/102. This is with 12mg of atenolol which I should hopefully kick to the curb soon Smile

  • Might-o'chondri-AL

    2/22/2011 7:40:32 PM |

    Hi Misty,
    Although chimps and humans share 96% identical proteins the implication of our intervention is complicated. Here's why.

    We actually have 40 million genome variables, including 500
    DNA repair/apoptosis pathway proteins. 5% of proteins show different splice variations; we have different arrangements of coding regions on the chromosomes we share.

    Chimps have 2.5 splice variations in places where humans only 1.5 gene splicing possibilities. 80 proteins we share similar gene intron segments for the chimp's intron is longer. Humans have more genetic activity post-translation to further modify events.

    Humans don't have Neu5Gc (N-glycolyl-neuraminic acid) which is a sialic acid binding immuno-
    globulin-like lectin (Siglec). This mediates molecules of sialic acid to perform differently. It directs what gets bound; the result is spleen macrophage response for chimps immune system works differently.

    The chimp ligand (thing that binds to something) processing mechanism extends to how they metabolize estrogen and phyto-estrogen iso-flavenoids (like soybeans contain). They pass both ligands, like wheat lectins, and estrogens more fully in their urine than humans do.

    For chimps a high fat diet causes less urinary excretion of estrogen, as well as less of the fragments of peptides from lectin ligands. To be precise high protein and high carbohydrate diets also diminish those metabolites % in chimp urine; just less so than high fat.

  • worldinside

    2/22/2011 8:46:30 PM |

    Dr Davis,

    I have just found your blog because I have only recently begun searching for dietary info in order to guide me in rebuilding my skeletal muscle (and brain) after a so-far-11-month bout of severe adverse effects to a statin.  (When prescribed my readings were: Total Chol 297, HDL 117, LDL 165, triglycerides 73 – after 2 months of little exercise as the result of pneumonia and eye surgery.)

    The widespread acceptance of the "Paleo" diet interested me greatly, because I independently came to some of the same conclusions several years ago.  There is, however, a big Something that I don't understand and that I haven't seen addressed.  I hope you can – briefly, I know – educate me.  Why such severe restrictions on carbs when they were so important in our survival?

    The characterization of Paleo as high protein, high fat, low low carbs doesn't square with my college science courses and subsequent reading.  Early, early man would have grubbed around for whatever he could find, and, yes grubs would have been eaten were he lucky enough to find them, as well as other insects, wounded  small game, carrion, and fruit/berries/nuts.  Early man would also have discovered ROOTS and TUBERS very early on, and wild pea pods and the like, long, LONG before he was capable of running down game alone or in concert, or could even be sure of modest, reliable supplies of protein and fat.

    And once he was a hunter, then what?  Not much fat on wild monkeys and stressed hooved animals (lots of other predators were after them, too), and one had to live between those perhaps widely spaced hunts that were successful and had to be shared.  More ROOTS and TUBERS – because fruit alone tends to leave you hungry for more (the fructose), whereas a nice raw potato, a few carrots, could calm the gnawing in the stomach.

    Yes, I see that we now need considerable protein and a lot of fat (compared to current guidelines) because as we progressed  our expanded diet of increased amounts of protein and fat permitted our brains, especially, and our bodies to evolve to take advantage of such nutrients.  But I can't agree with the demonization of a large segment of our natural food supply.  Cut out grains.  I can see that.  But the sweet potato?  In the skin?  With generous amounts of butter gilding its fiber-rich goodness?

    Why?

  • Anonymous

    2/22/2011 10:09:55 PM |

    This may clarify, in their recent 2010 paper, M Konner and SB Eaton, estimate the ancestral diet (as % of daily energy) composed of
       35-40 acrbohydate,
       25-30 protein, and
       20-35 fat.
    They comment that the carbohydrate source for “hunter-gatherers” (HG) was from fruit, vegetables, and nuts, not from grains. They go on to say that the reduction of carbohydrates to extremely low levels is not consistent with the HG model, but neither is a high-carbohydrate, “meat as a condiment” type of diet.

    Konner and Eaton, both physicians, published their seminal paper on Paleolithic nutrition in 1985. The statistic above comes from their most recent paper of 2010. For those interested in how the popular interpretation of scientific research tends to “spin” the original detail, references to both their papers are below. Unfortunately, the 1985 article in the New England Journal of Medicine is restricted to paid subscribers only, while the recent invited article in Nutrition in Clinical Practice is available free online.

    Eaton SB, Konner M. Paleolithic Nutrition: A consideration of its nature and current implications. N Engl J Med. 1985 312:282-289.

    Eaton SB, Konner M. Paleolithic Nutrition: Twenty-five years later. Nutr Clin Pract 2010 25:594-606. http://ncp.sagepub.com/content/25/6/594

  • Brent

    2/22/2011 10:22:14 PM |

    There seem to be a few anonymous people making posts giving their opinion about how this blog should be run. Some of their assertions remind me of the entitlement mentality ruining this country.

    First, Dr. Davis is under no obligation to answer anyone's comments or questions.  How much do you pay to come here and read? I thought so.

    Second, when he chooses to respond, understand it is taking time out of his day that could go to his medical practice, (Real clients who pay for his services) his family, or without knowing the man personally, his hobbies or other interests.  How much time do you think it would take to write an answer to each person who poses a question in the response section on this blog?  Keep in mind how much slower writing is than speaking! It would take hours.

    Maybe it hasn't occurred to some of you that an answer to one person in the comments section won't be seen by very many people.  A much better use of his time is to write a short blog post at some time in the future that will be seen by many, and will be search-able, rather than answering the same question over and over again in the comments section.

    It's not all about you, people. Get a life.

  • Lori Miller

    2/23/2011 1:20:07 AM |

    Worldinside, first, there's no one paleo diet. At certain times and places, like Cro-magnon Europe, the diet was nearly all meat. Paleolithic humans ate animals (snout to tail, not just muscle meat), fruit (in season), and, yes, tubers when they were available.

    Second, probably unlike Paleolithic humans, many readers of this blog don't have normal blood glucose reactions to carbohydrates. As you probably know, carbohydrate consumption spikes blood sugar even in normal, healthy people. In people with diabetes or metabolic syndrome, eating a tuber can cause BG levels that can lead to organ and tissue damage. Overconsumption of carbs over a month in such people can lead to high triglycerides as well--not to mention weight gain.

    While it's useful to look at how Paleolithic humans ate, we also need to look at medical science and keep our own individual quirks in mind. Humans need to eat protein. We also need to eat fat; we can't make essential fatty acids ourselves, and dietary fats have a unique ability to allow us to absorb vitamins A, D, E, and K. But there's no such thing as an essential carbohydrate (people who have hypoglycemia aside). Our liver can make blood glucose from protein. And just because something is natural and somebody else can eat loads of it, doesn't mean everybody can eat it.

  • revelo

    2/23/2011 1:47:45 AM |

    Assuming your goal is longevity and health in old age, it doesn't matter what our hunter-gatherer ancestors ate, because they didn't live much beyond age 70, which is quite young by modern standards. Living to 100 and being healthy in your 90's is very unnatural, so it follows that those of us who want to live that long should eat unnaturally. All the evidence I've see suggests that being lean and conditioned is the way to go, regardless of diet, but that a mostly vegetables diet is most conducive to longevity. Eating mostly grains is also okay. Eating high-fat or high-meat is NOT conducive to longevity.

    If you are not lean and conditioned, then first priority is to become lean and conditioned, and any diet which helps towards this primary goal is a good diet. Only after you become lean and conditioned do you really need to start worrying about diet.

  • Anonymous

    2/23/2011 4:03:16 AM |

    … as always such enlightening comments …

    In my neighborhood, it is generally accepted that the life expectancy at birth for preindustrial populations was 30-35 years. This was due not to the absence of older people but due to the extremely high infant and child mortality. Deaths overwhelmingly were due to infectious diseases that are now under control, more or less. With the longer average life spans came the advent of the diseases of civilization: atherosclerotic cardiovascular diseases, type 2 diabetes mellitus, chronic obstructive pulmonary disease, lung and colon cancers, essential hypertension, obesity, diverticulitis, and even dental carries. As of 2011, US life expectancy at birth is 78 years.

    For sure, aerobic fitness is essential to health and longevity in the modern world however, medical science has demonstrated that many of the diseases of civilization would be minimized with appropriate dietary modification. Yes, the same medical science that we are throwing rocks at in the current “cutesy” survey of the AHA offered in this blog session.

    One method of analysis in medical research is the examination of the Paleolithic diet supporting the discordance hypothesis that tries to explain that the mismatch in our modern diet from that what our genome has evolved is the cause of some chronic diseases. As an example, consider the modification of sodium intake. Studies of our ancestors diet estimates their sodium intake at about 800 mg/day, compared to a current adult average of 10,000 mg/day estimated by the WHO. Well-validated computer simulations predict that a reduction of 3000 mg/day (30%) in sodium intake would result in 40,000 to 90,000 fewer deaths from coronary heart and stroke each year in the US. On the other hand, moderate ethanol intake has been shown to reduce cardiovascular risk. Ethanol consumption was probably nonexistence before the invention of agriculture and not part of the paleo lifestyle.

    No one has all the answers but blindly following any particular lifestyle or lifestyle advocate will probably not get you to a healthy 9th decade or simply a healthy older life. However, with a little luck and the judicious adoption of demonstrated healthy habits in fitness, nutrition, and lifestyle we all may get there.

  • Anonymous

    2/23/2011 4:31:32 AM |

    I think the problem people have with The Heart Scan Blog is that they forget the doctor is referring to people who have metabolic problems. I've met many people who are fat and who eat potatoes and fruits yet keep their cals low and lose a ridiculous amount of weight. But at the same time I know people who, if they ate the same way, they would gain weight.

    In general, the info on this blog is really good. Sure there are times where it seems that the doctor has recanted his hate of weight so much that he begins going after the most random stuff (i.e.. butter), but realize that this is a blog and that - as mentioned previously - everyone is different.

    Closing anecdote: My grandfather is 94. He's incredibly healthy (runs a whole mango farm in Asia). His diet would be deemed bad by most of the people on this blog. He eats oatmeal topped with mangoes for breakfast, Hawaiian Bread with SPAM sandwich (because he's out on the farm), and he eats white rice for dinner. His cholesterol is perfectly fine. His heart is perfectly fine. In fact, the doctors are always amazed at how healthy it is.

    So it goes to show, it depends on YOU. Do your research, see what info is out there, don't rely entirely on any one source of info. So a doctor recommended you a diet you don't agree with? Guess what? Go see another doctor! Just be sure you aren't going from one doctor to another until you hear the answer you WANT to hear as opposed to the one you NEED to hear.

  • worldinside

    2/23/2011 10:40:57 AM |

    Thank you to all the  Anonymousi, Lori and Revelo who replied to my question, especially the first responder.  I've downloaded the paper and am looking forward to reading it.  I was pleased to note that, as I believed, those early diets were pretty well balanced.

    And thanks, Lori and another, for pointing out that this site is intended largely for people with CVD and/or metabolic disorders.  (That explains the every 15 min BG readings!)

    I was not questioning because I was confused about which diet to follow, but rather, was confused by the way the term "Paleo" [diet] was being thrown around on this site by several commenters, as in "I've been Paleo for two months now and feel great.  No more carbs for me."  And I wondered if that was the site terminology for the diet plan envisioned by Dr Davis.

    Revelo, I don't think I agree with your statement, " Only after you become lean and conditioned do you really need to start worrying about diet."  First of all, unless you've a metabolic disorder I think you should be mindful rather than worrying about your diet.  Second, I'm inclined to believe that once you're conditioned that's when you can stop worrying, if you were so inclined.  You've cranked up the mitochondria and they're working away at increased effectiveness even while you're not working out.

    By the way, I used to love oatmeal in the morning.   Several years ago I started what turned out to be about two years of oatmeal for breakfast every single morning – with half and half or cream and brown sugar.  Then I stopped as suddenly as I had started.  I think my body needed something the oats supplied, and then it no longer did.  And I stayed slim all that time.  Now I don't touch fructose except in fresh fruit (Thank you, Dr Lustig), so no sugar either white or brown should I ever again get the oatmeal urge.

  • Eric

    2/23/2011 1:15:16 PM |

    To all the "anonymous" posters-

    After reading Dr. Davis' blog for some time now, I can assure you he will respond if the comment is worth his time.

    General bad mouthing is rampant on a blog and if he spent most of his time refuting narrow minded opinions he wouldn't have time to be a cardiologist or write. So chill out or go elsewhere.

    Also- his views aren't directed to just people with metabolic syndrome. It's for people who seem to be the American picture of "health" but are a ticking time bomb for diabetes, stroke, heart attack. His knowledge delves deeper than just a typical lipid panel (LDL, HDL, triglycerides).

    People should know what they speak of, before the pop of at the mouth about topics they aren't well suited to debate.

    Good post Dr. Davis.

  • terrence

    2/23/2011 5:33:37 PM |

    Anonymous February 23, 2011, said "…. after looking it over following a very strong recommendation, I can say that I will not be back."

    Thank you anonymous - based on your silly comment from which I took the quote, you have absolutely NOTHING to say. I am delighted you are going.

    r Davis, thank you for yet another informative, intelligent post.

  • Might-o'chondri-AL

    2/23/2011 7:38:26 PM |

    Some are not abreast of the science and how it is clinically relevant. A 33 year 14,000 patient study of Danes, published 18 Feb 2011 in Annals of Neurology, indicates Doc's insistance is well founded.

    (In case you wonder why neurologists' data are relevant it is because 87% of fatal strokes are ischemic strokes. Now on to the science reported.)

    Danes followed those with strokes over 33 years and found that NON-fasting triglyceride levels were more of an indicator than cholesterol level.
    Specificly: women and men with over 89 mg/dl NON-fasting triglycerides had 1.2 times more stroke risk.

    Doc's rants about blood sugar after eating, including butter induced spike, are in line with NON-fasting triglycerides being
    a risk factor. He does detail
    triglyrerides in other posts and goes into the VLDL mechanism too. My layman's focus on LDL & genetics overlooked what this blog clued me in to.

    Laboratory lipid blood work shows the fasting trigylceride number. Doc pushes home test of
    post-meal blood sugar since it is a surrogate of VLDL and NON-fasting triglycerides getting elevated (or not).

  • Might-o'chondri-AL

    2/24/2011 12:08:16 AM |

    Non-diabetics, like me, think blood sugar science is for the other guy. Doc seems to be trying to hammer it home that it is relevant to some more of us.

    Let's focus on coronary problems, like multi-vessel coronary disease, although it is all tied in to cardio-vascular "events". A meta-analysis of 20 studies covering 90,000 non-diabetics is worth summarizing.

    Over 12 years those 90,000 non-diabetics' heart risk (multi-vessel coronary artery disease) correlated exponentially with both fasting and post-meal blood glucose levels. This was irregardless of the person not meeting the diagnostic criteria for being diabetic; and irregardless of "normal" fasting blood sugar, or even signs of glucose intolerance. In other words, the +/- 2 hour span of blood sugar dynamic is connected to cardio-vascular events.

    (Multi-vessel coronary disease is when the left ventricle functions, but there is +/- 70% stenosis narrowing of blood vessel from plaque.)

    European Diabetes Epidemiology Group's 2003 "DECODE" research shows that the interplay  of blood sugar and cardio-vascular risk can start even in the "normal" blood sugar range. The risk progresses in a linear
    fashion, yet there is no specific point where can say individual has passed the point of no return into danger.

    Again, the DECODE data's
    significance is that post-prandial (after meal) glycemia, and to a lesser extent fasting blood sugar level, is relevant to cardio-vascular events even in some non-diabetics.

    Non-diabetics can still share some of the 30 risky genes with type II diabetics and yet not become diabetic. We don't know which of us has what of those allelo-morphs (a.k.a. allele; a DNA sequence on a chromosome).

    So, non-diabetics (specificly those with the alleles similar to diabetics) may have normal fasting &/or normal post-prandial blood sugar yet be at risk of a cardio-vascular event. Furthermore, non-diabetics with suspiciously elevated fasting blood sugar are thought to be manifesting one of those genetic SNPs (single nucleotide polymorphism, a.k.a. mutation).

    Clinically 35% of diabetics have cardio-vascular events and 5 years later 35% of those go on to have a fatal incident. In comparison 24% of non-diabetics have cardio-vascular events, yet 5 years later 33% of those who share the risky allele(s)go on to have a fatal incident. In other words, everybody who took a first "hit" has virtually the same chance of dying; speculation is the non-diabetics who go on to die share the dying
    diabetics risky allele(s).

    Discussing what (say) grand-dads
    eating habits is annecdotal; as is we non-diabetics assumption time won't alter things for us.
    Many of us do not share genes with any diabetic risk, so Doc's "gluco-phobia" is irrelevant. He obviously
    sees plenty, diabetic and non-diabetic, who come to him so they won't die unnecessarily.

    For you who may live long enough to see routine testing, or doing research, here is a list of the 10 alleles most associated with European ancestry adult onset diabetes relevant to what was discussed above.

    It bears mentioning that each may have up to 3 allele sub-variations for each risk
    gene. In no particular order, they are:
    FTO rs8050136, IGFBP2 rs4402960,
    CDKAL1 rs7754840, HHEX rs1111875,
    SVC30A8 rs13266634, PPARG
    rs1801282, KCNJ11 rs5219, TCF7L2
    rs7903146, CDKN2A/B rs10811661and rs93000039.

  • Dr. William Davis

    2/24/2011 12:20:46 AM |

    Wow. I see I enter a fascinating conversation.

    In response to a question posed by Worldinside: The difficulty with carbohydrates differs substantially from person to person, based on 1) genetics, e.g., apo E2, 2) intensity of physical activity, 3) preceding lifelong carbohydrate exposure, 4) current weight and insulin sensitivity, 5) vitamin D status, 6) lectin content of consumed foods. There are other factors.

    Point: There cannot be a one-size-fits-all approach to diet. This is one of the main reasons I advocate postprandial glucose checks, a means to assess a specific individual's carbohydrate tolerance.

    And thank you, Eric and Terrence, for understanding that this is a blog and that I do my best to respond, given my time constraints. I've just finished a 10 hour day in the office, spent 2 hours starting in the early a.m. editing a new book (to be released by Rodale in fall). I now turn to website responsibilities until late tonite.

    There's only so much you and I can fit into a day.

  • Kent

    2/24/2011 4:13:42 PM |

    Can't wait for the new book, the first one was truly a God send.

    Does it have a title yet?

  • Anonymous

    2/24/2011 5:00:16 PM |

    I find this blog to be very helpful in sorting out what to eat and how it may effect me.  
    I have increased the amount of Vit D and fish oil that I take daily.
    He is providing a good public service with the blog for which I thank him.

  • ArtsyNina

    2/25/2011 1:26:37 AM |

    Dr. Davis- I've been following your blog for a while now and always enjoy your posts! Informative for sure - both the posts and all of the comments.  Your sign off question gave me a good giggle.  Keep up the good work!


    artsynina.blogspot.com

  • Gene K

    2/28/2011 6:22:23 PM |

    @Kent

    You can read the already written chapers of the book if you log in to the TYP site: trackyourplaque.com.

  • eye lift

    3/4/2011 3:06:29 AM |

    This blog is always giving good information. This is really good health blog. This is also really good article.

  • John Gardner

    7/11/2011 5:23:22 AM |

    The American Heart Association had always given good advice on caring for one's heart. It is up to us if we heed them or not.

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The lipid distorting effects of weight loss

The lipid distorting effects of weight loss

Roger experienced a near-fatal heart attack 6 years ago. He survived thanks to the quick action of bystanders who initiated CPR and called 911. An emergency catheterization was performed and a stent implanted into the closed right coronary artery. But that's not why I tell Roger's story.

Since then, Roger has become comfortable with the idea that he has heart disease. His initial commitment to good nutrition and exercise has waned, as it often does in us distractable humans. So Roger gained about 30 lbs through a long winter, inactivity, eating frozen dinners, and the cookies and baked goodies his daughters made him.

As a result of the weight gain and inactivity, Roger's HDL dropped to 32 mg/dl, triglycerides rose to 211 mg/dl, blood sugar crept up into the pre-diabetic range of 116 mg/dl. Undoubtedly, small LDL was out of control beneath the surface. His tummy reflected the weight gain, flaccid and overhanging his belt.

I read Roger the riot act. I reminded him of what he had experienced and nearly didn't survive. Weight loss and a re-invigoration of his nutrition and exercise efforts was going to be crucial.

Roger listened and took it to heart. Over three months, he lost 24 lbs, a phenomenal result. However, his repeat lipid panel showed an HDL of 28 mg/dl, triglycerides 234 mg/dl, blood sugar unchanged.

"I don't get it! I lose all this weight and the number get worse?!" Roger was understandably upset after his enormous effort.

I told Roger that after a profound weight loss, lipids can go berserk for up to two months after weight has stabilized. Typically, HDL drops and triglycerides rise--the opposite of what we want. But wait another two or so months after weight has stabilized and the numbers begin to look beautiful.

Why does this crazy effect happen? I really don't know and I've never heard a satisfactory explanation for it. But it is very real and quite predictable.

The lesson: after a substantial weight loss, be patient. Check your lipid numbers too soon and you might be confused or disappointed. If you do check them, bear in mind that additional time may need to pass before you see the weight loss fully reflected.
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Vitamin D Home Test

Vitamin D Home Test

The ever-resourceful Dr. John Cannell of the Vitamin D Council has announced the availability of an at-home, self-ordered vitamin D test kit for $65. The Vitamin D Council newsletter is reprinted below.

(However, please note that, as wonderful as the advice Dr. Cannell provides, I don't agree on several small points, such as the lack of need for vitamin D if you use a tanning bed or obtain "sufficient" sun; I have seen many people with dark tans, virtually all over 40 years old, who are still severely deficient. I attribute this to the lost capacity for vitamin D activation as we age.)

I have not used this service. Should anyone choose to try it, please let us know how it goes.



The Vitamin D Newsletter
December 28, 2008

The Vitamin D Council is happy to announce that we have partnered with ZRT Laboratory to provide an inexpensive, $65.00, in-home, accurate, vitamin D [25(OH)D] test. The usual cost for this test is between $100.00 and $200.00.

If you read this newsletter, you know about our interest in accurate vitamin D testing. In the next few weeks, you may read about the Vitamin D Council's quest for accurate vitamin D blood tests in the national media. Before we partnered with ZRT, we verified, repeatedly, that ZRT provides accurate and reliable vitamin D tests and that their method corresponds very well to the gold standard of vitamin D blood tests, the DiaSorin RIA.

Our ZRT service is not just inexpensive, it means no more worrying about your doctor ordering the right test or interpreting it correctly. You buy the test kit on the internet or by phone, a few days later the kit comes in the mail, you or a nurse friend do a finger stick, collect a few drops of blood, and send the blotter paper back to ZRT in the postage paid envelope provided with the kit. A week later you get results back in the mail and know accurate 25-hydroxy-vitamin D levels of you and your family.

For every test you order, ZRT will donate $10.00 to the Vitamin D Council. Please read the new page hyperlinked below on our website as it both explains the procedure and how to order the test.

http://www.vitamindcouncil.org/health/deficiency/am-i-vitamin-d-deficient.shtml

Executive summary: keep your family's 25-hydroxy-vitamin D blood test above 50 ng/ml, year around. Most adults need at least 5,000 IU per day, especially this time of year. Most children need at least 1,000 IU per day per every 25 pounds of body weight. Bio Tech Pharmacal provides high quality and inexpensive vitamin D. Currently Bio Tech Pharmacal is providing vitamin D for numerous scientific studies. To see their prices and for ordering, click the hyperlink below.

http://www.bio-tech-pharm.com/catalog.aspx?cat_id=2

As a gift to our readers for the New Year, Thorne publications have provided a free download to a basic paper about vitamin D. I wrote it earlier this year for educated lay people as well as health care practitioners. Please read this paper carefully, your family's well-being, even lives, may depend on you understanding it.

http://www.thorne.com/altmedrev/.fulltext/13/1/6.pdf

Seasons Greetings
John Cannell, MD
vitamindcouncil.org

Comments (13) -

  • Anonymous

    12/29/2008 6:48:00 PM |

    Dr. Davis, thanks a lot for publicizing this offer! And thanks to Dr. Cannell for arranging the test with ZRT.

    I've ordered my 4-pack and am looking forward to checking my D3 levels.

  • Jessica

    12/30/2008 1:50:00 AM |

    Hey Doc- I'm due for my D level check, so I ordered a single level AND on the same day I finger stick for the ZRT test, I'll also have a 25(OH) run through the lab. I'm curious to see how well the two correlate (I have an HSA so I don't mind to spend the $65 on the home test and the $59 that my ins approves for the test thats done through the lab).

    Its worth the one time expense to see the potential.

    I'm PSYCHED about the home test!

    I'll let you know how it goes.

  • Dr. William Davis

    12/30/2008 3:52:00 AM |

    Hi, Jessica--

    Please do!

  • Bob Parks

    12/30/2008 4:49:00 PM |

    The ZRT test is not available in California or NY.

    Sigh..

    Bob

  • Anonymous

    1/4/2009 9:49:00 PM |

    Bob--

    NY and CA are ridiculous in their regulations, no doubt about it.  Why is it any of the state's business if you, as a private individual, want to contract to get  your own personal blood analyzed by whomever you choose?

    It's really all about money.  At least in NYS, I know it takes millions in order for a comapny to become "licenced" in the state.

    If you really do care about getting your D tested and you don't have a doc, you can order a blood test from the Life Extension Foundation.  Go to www.lef.org and search under blood tests.

    It's $62 for non members, $42 for members.  However, you do need to get your blood drawn at a blood draw place, so not as convenient.  But still about the same price.

    best wishes
    -g

  • Anonymous

    2/7/2009 6:14:00 PM |

    Hi Dr. Davis,

      I ordered this test and it took about 2 weeks to get the results back.  I came back at a 50ng/ml.  This is after supplementing (blindly) for a year with 4000IU of Carlson D3 gelcaps, I shudder to think what it was before that.  Will definitely be upping to 6000IU and trying again in 3 months for 60-70ng/ml.  I'm a 39 year old white male living in PA who rarely sees much sun (but hey I've still got great skin!).  I've noted a definite improvement in mood, used to be depressed and anxious alot.

  • Anonymous

    2/13/2009 8:40:00 PM |

    i ordered the blood spot kit as here in the UK i couldnt get a doctor to test infact got told that no-one is low. I was taking 400iu at first upped it to 1000iu then 4 weeks ago upped it to 5000iu that i had to order from the vitamin d council as couldnt get it here. My test results showed low 31. I dont no if i should up it again to reach over 50. I am wondering what my level was before. I got extra kits as well as it looks like i have to look after my own levels.

  • Ricardo

    7/28/2009 10:29:43 PM |

    Now they're saying tanning beds cause cancer! - "WHO: Tanning Beds Cause Cancer" -> http://www.webmd.com/skin-problems-and-treatments/news/20090728/who-tanning-beds-cause-cancer

  • Anonymous

    7/30/2009 11:41:31 PM |

    I did the fingerstick through Grassroots as did my husband. Our results showed me at 13 and him at 23. (We are 50 & 51 respectively). We'll be starting on 6000IU right away.

  • Diana

    8/11/2009 3:58:58 AM |

    I took the test also. I was at 27 at 2000.  I am now up to 6000-8000 depending on how much sun I have and my blood serum levels are up to 62, and I feel great.

    I am in California, and I was able to get the test-??

    Do you have a health success story that you can share?  I am collecting alternative and holistic success stories so we can all learn from each others success!  

    I am still building the site, but if you have a story to share, please add it.  It is through sharing our experiences and stories that we can help each other on our quest to wellness!

    http://dactionhealth.ning.com/

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    6/29/2010 8:44:10 PM |

    This test was very important for me!! the results be fine. Thanks for you recomendations Dr. :=)

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    6/29/2010 8:44:10 PM |

    This test was very important for me!! the results be fine. Thanks for you recomendations Dr. :=)

  • Anonymous

    8/18/2010 6:38:14 PM |

    I ordered a kit today to measure my D levels.  I'm quite curious to see what they are since I've been diagnosed with osteopenia.  I am going to do everything in my power to improve my bone density and feel that by knowing what my Vitamin D levels are, and going accordingly is one stop toward this goal.  If I accomplish this goal, I am going to encourage my family, particularly the women to do the same, which is to get their D levels measured and know exactly what they must do to improve their bone density.  The more women who do this can hopefully alleviate the epidemic that prevails in our country, namely either osteopenia or osteoporosis!
    Marie Roy

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Patient-napping: Yet another reason to stay clear of hospitals!

Patient-napping: Yet another reason to stay clear of hospitals!

When I started practicing medicine around 20 years ago, it was common practice to alert a physician when their patient was seen in an emergency room.

If John Smith, for example, went to the emergency room with chest pain, the physician who had an established relationship with the patient--knew their history, had managed their health and illnesses, etc.--was notified, even if the hospital ER had no relationship with the physician. It was not uncommon for the patient to then be transferred to the hospital where their own doctor practiced.

Though cumbersome at times, it preserved the relationship of the patient with their doctor.

Over the past few years, this practice has crumbled. Nowadays, hospitals and their employed physicians (and other unscrupulous physicians acting in the name of profit) "fail" to notify the physician with an established relationship.

Guess what happens? The patient all too often ends up being put through the gamut of testing and procedures.

Why? For hospital profit, of course. If failure to notify a doctor who's had a 10-year long relationship with the patient is "overlooked" or, even more commonly, it's "unsafe" to transfer the patient because the patient is too "unstable" to be transferred, then this patient becomes ripe for picking--heart catheterization, stents, bypass surgery, etc. Ten's, if not hundreds, of thousands of dollars can be reaped by this deception. I call it "patient-napping".

I see this at least several times every month. As hospitals are becoming increasingly competitive, and as they put pressure on their physicians to churn patients for revenues, you're going to see more and more of this.

As always, what is your protection from this expanding influence of hospitals and the doctors too meek to stand up to them? Education and information. Arm yourself with an understanding of what is accomplished in hospitals, when you truly need them, and when you don't.

Take it one step further. At least from a heart disease standpoint--the #1 profit-maker for hospitals--aim to 1)identify your coronary plaque, then 2) seize control over your coronary plaque and reduce your risk for heart attack and heart procedures as much as humanly possible. That's the goal of the Track Your Plaque program.

Comments (1) -

  • Anonymous

    8/22/2009 3:56:47 PM |

    I believe this happened to me when my PCP was out of town in mid-July.  His "sub" directed me to a local hospital and chose a cardiologist for me.  I had gone for upper left dull chest pain, ended up being admitted to the hospital, and underwent the gamut of heart tests - nuclear stress testing, echocardiograms, even a heart catheterization, all by doctors who did NOT know my history and had no way of finding it out.  Admission through the ER, tests for two days, while my PCP was out of the picture.  And now the cardio, who told me she would notify the PCP and endocrinologist whom I have been seeing for 5 years, has not done that.  I don't even know whether I want to see her or have my PCP recommend another cardiologist.

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