Wheat-free and still fat

Readers of The Heart Scan Blog know that I preach a diet that contains foods with low glycemic index to control weight, raise HDL, and reduce triglycerides, blood sugar, and small LDL.

A crucial aspect of a low glycemic index approach is to sharply reduce, preferably eliminate, wheat products.

I pick on wheat specifically because it has come to dominate the American diet. Look at the shelves in the supermarket: aisle after aisle of processed wheat products. The bread shelves alone in some of the grocery stores in my neighborhood are 40 feet long, six shelves high. There's also breakfast cereals, granola products, cookies, cakes, baking products, pretzels, crackers, pasta, and on and on.

Wheat products like these are tasty and they're addicting--literally. Test animals given processed wheat will eat more and gain more weight. Wheat fails to trigger satiety. So laboratory mice--and you and I--eat and eat, because eating wheat stimulates appetite, creates a hunger for more wheat, and a vicious cycle ensues. Eliminating wheat, on the other hand, results in dramatic drop in appetite, substantial weight loss, followed by correction of the metabolic disruptions it created.


A quick Google search for "gluten-free" turns up a startling array of wheat-free, gluten-free, yet high glycemic index products. The breakfast cereal pictured, for instance, can do as much damage as most wheat containing products--though it won't cause gluten enteropathy (also known as "celiac disease").




The product shown contains:

Brown rice flakes, rice bran, evaporated cane juice, brown rice syrup, raisins, cinnamon, gum arabic, vanilla, molasses, ground flaxseed, rosemary extract.

A 1/2-cup serving contains:
Total Carbohydrate 31g
Dietary Fiber 5g
Sugars 8g


And I'll bet that most people eat a lot more than a half-cup serving.

But you and I are not laboratory mice. If deprived of wheat, many people will then seek out processed rice products (rice cakes, Rice Krispies), processed cornstarch or cornmeal products (tacos, cornbread, many processed foods using these products for texture or thickness), or other products labeled "gluten-free."

Going wheat-free for our purposes is not about avoiding the gluten in wheat. It is about seizing control of appetite, eliminating a food that disrupts insulin responses, reduces HDL, raises triglycerides, and creates small LDL particles. But this applies to processed corn, rice, and other high glycemic index foods, as well.

So, occasionally, someone will declare, "I've eliminated wheat! Now I only eat rice, corn, and I've discovered all the gluten-free alternatives!"

Unfortunately, they've traded one evil for another. So it's not just about wheat. It's really about reducing or minimizing foods that mess up metabolic responses and lead to coronary plaque growth. Wheat is the biggest culprit and so I focus on it. However, you could easily transfer far less popular rice and corn products into center stage and allow them to wreak all the health damage of wheat.

Going wheat-free for our atherosclerotic plaque-control purposes is not the same as going gluten-free. So be careful of the distinction.


Wheat-free gummi bears:


Contents:
Organic dehydrated cane juice, organic corn malt syrup, organic juice concentrates (may contain organic apple, organic apricot, organic aronia, organic carrot, organic cranberry, organic elderberry, organic lemon or organic red beet), organic spinach powder, organic apple pectin, citric acid, natural fruit flavors.

Virtually pure sugar--yet wheat-free.



Wheat-free rice bread


Ingredients:
White rice flour, water, honey, soy oil, natural gum, salt, yeast, natural gum














Copyright 2008 William Davis, MD

Comments (14) -

  • Anne

    2/15/2008 8:59:00 AM |

    Two years ago when I discovered I was intolerant to them, rather than go "wheat free" I went "grain free", I cut out all the grains. I don't miss grains at all, and doing a test with my blood glucose meter after a piece of bread was final confirmation of how bad they are ! When we go to friends for a meal it's so much easier to say I don't eat any grains at all than to say I'm intolerant to this one or that one or to gluten. Dh has also virtually cut out grains but it's obviously an addiction because he can't completely cut them out and has the occasional rice cake :-( You can tell grains are a cheap way of feeding people though as our food bill has gone up a lot since I stopped eating them and replaced them with lots of fresh veggies. I didn't know how much it would help my HDL, that's nice to know...mine is 2.4 (93).

    Anne

  • Anonymous

    2/15/2008 11:23:00 AM |

    Celiacs today are lucky, depending on how you look at it.  There are just so many ready made foods for them to choose from these days.  Additionally food manufactures now label if their food has wheat in it - some even volunteer to label if gluten is present!  There is a health food grocery store a few blocks from our place and one whole isle is dedicated to only gluten free foods!!  I'm jealous because I used to have a grumpy gut 20 to 15 or so years ago and different doctors would suggest I try eating gluten free.  Back then plain old Quaker rice cakes was about as tasty as it got when it came to a quick meal.

    Thanks for the wonderful blog Dr Davis.  I enjoy e-mailing it out to friends and family.  As I tell them, your blog wittings are too good to keep to myself.  Received two e-mails yesterday from others wanting to learn more about TYP.  Primrose

  • Anne

    2/15/2008 12:36:00 PM |

    I have non-celiac gluten sensitivity. I have to eliminate gluten 100% in order to feel well. I found out very quickly, if I want feel my best, I must avoid all the processed gluten free(GF) foods too.

    As more and more people get diagnosed with celiac disease/gluten sensitivity, more and more processed GF products are showing up on the grocery shelves. You are right to point out that a GF diet is not always a healthy diet. That is a common misconception. Yesterday I spoke with a doctor who said she was going to eat GF in order to lose weight. When I told her Snickers and Coke were GF, she was surprised.

    By sticking with whole foods and eliminating all grains, I regained my health.
    Anne

  • Anonymous

    2/15/2008 3:08:00 PM |

    I am in complete agreement with your stance that refined/processed sources of wheat should be avoided. But are moderate glycemic load whole grain foods such as bulgur wheat, kasha, brown rice, and 100% whole wheat bread, which are important sources of fiber and B vitamins, truly "evil"  when CONSUMED in moderation? I may be somewhat unusual because I do not need to lose weight or decrease my blood sugar (or, for that matter, reduce TG's or raise HDL) but I have the "dreaded combination" of genetically induced Lp(a) and small LDL. Do I actually have to feel that I am "doing damage" to myself by eating a few whole grain products a few times a week?

  • Anonymous

    2/15/2008 4:58:00 PM |

    So where does a highly processed product like Bran Buds (wheat bran, sugar, psyllium seed husk, oat fiber, high fructose corn syrup... uh oh!) come out?  Lots people eat this one for a fiber boost, but is it really just another Frankenstein food, masquerading as "healthy"?

    1/3 cup serving has 70 cals., 1 gm fat; 200 mgs. sodium; 300mgs. potassium; 24 gms. carbs of which 8 gms are sugars; 13 gms fiber, of which 3 gms are soluble and 10 gms are insoluble fiber; 2 gms protein

    I may have answered my own question.

    Thanks for the great blogs, Dr. Davis.

    madcook
    Cypress, TX

  • Anonymous

    2/15/2008 5:20:00 PM |

    I've been reading about coconut flour, which is supposedly lower on the glycemic scale, and is high in fiber -- according to the sites promoting coconut flour.

    Do you think baked items made from 100% coconut flour would be ok for blood sugars, and not causing increases in LDL and triglycerides, if eaten in moderation?

    Glycemic Index of Coconut Flour Products in Normal and Diabetic Subjects

    S

  • Zute

    2/15/2008 5:31:00 PM |

    I always thought you picked on wheat because of something in particular about wheat.  However, I have found that all grains definitely play havoc with my blood sugar and ultimately lead me to getting fat(ter) and unhealthier.  

    Since I've gone "Paleo" and eliminated all grains and dairy products I found a lot of strange health issues that I can trace directly to removing them from my diet (and their subsequent reappearance when I add them back) disappeared like:

    Terrible IBS (wheat)
    Low blood sugar feelings (grains)
    Brain fog and memory problems (wheat)
    Insomnia maybe lack of D3 (wheat)
    Arthritis (wheat)
    Sinus problems (dairy)
    Muscle spasms (dairy)
    Acne (dairy)
    Constipation (dairy)

    Anyway, wheat is the worst for me but the other grains are right behind it.

  • Ross

    2/15/2008 11:41:00 PM |

    Absolutely correct in my experience.  My body composition didn't start to change until I cut out grains and starchy vegetables entirely (except for one weekly cheat meal).

    Wheat may be the worst of the bunch, but it's the carbs within the wheat that are really the problem, and those carbs are found in lots of places.

    One thing that's really suprised me are how many "low-carb" foods are also low-fat.  What's left?  I don't want a high-protein diet, I want a high-fat diet with fats from natural animal and vegetable sources.  It's frustrating that it's so difficult to find healthy food in the grocery store these days.  I'm really looking forward to the day when the era of "low-fat = healthy" is broadly regarded as an embarassing lapse of judgement by an entire culture.

  • Mike

    2/15/2008 11:59:00 PM |

    But the Gummi Bears are Organic! They must be healthy. I'm wondering if I can get some organic arsenic.

  • Cindy Moore

    2/16/2008 2:01:00 AM |

    Many low carbers eliminate all grains, not just wheat. There certainly isn't any reason why we should be eating grains!

    Personally I think wheat, corn and soy should all be eliminated....and one or more is in almost every processed food in some way.

  • Anonymous

    2/17/2008 7:40:00 PM |

    No one explicitly mentioned oats.   I try not to eat many grains, but I do feel better with a bowl of Scottish oatmeal for breakfast and it is mostly soluble fiber which is good for your digestion.  I'm really not much of an "egg person" and get really tired of them everyday.

    Noreen

  • migraineur

    2/18/2008 10:30:00 PM |

    I just tell people I'm allergic to grains.  Since most desserts also have flour in them, that covers me on 95% of anything people might try to serve me as a main dish or dessert.  The last 5% would be potatoes or legumes, and those are usually served as a side dish, so I can just avoid them.

  • Anna

    2/19/2008 4:08:00 AM |

    With rare exceptions, we don't eat grains very often at our house anymore.  I still do get some sprouted wheat bread for my son, but I have to freeze it because he eats it so slowly.  I do add some very small amounts of quinoa to stews and soups, or sprout it to add to salads, but even that is minimal.

    Another commenter mentioned coconut flour.  Last year I started baking again, using recipes from a coconut flour cookbook (Fife).  Be aware, that without gluten, 100% coconut flour (as opposed to a flour blend) requires a lot of binder, usually eggs, or else the item will fall apart.   I also have to watch my blood sugar with a low carb diet, and if consumed sensibly, low sugar coconut flour  cookies fit in well.

  • Anonymous

    2/22/2008 12:08:00 PM |

    @ Anna re: Coconut flour

    Thanks for the feedback about coconut flour; I''m going to give it a try for the occasional baked goods replacement.

    I was aware that without gluten, extra binder would be needed. I originally thought about what the celiacs use, guar or xanthum, but Gluten A Go Go has been using ground flax or chia as her binder for her celiac baked goods. So I'll play around with those too.

    S

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Test Of Scanner Saves A Doctor's Life

Test Of Scanner Saves A Doctor's Life


















Read the story online at http://www.courant.com/news/health/hc-luckydoc.artsep10,0,7572510.story?coll=hc_features_promo

I personally hate these stories, the ones that turn heart scans into drama by describing how someone had a heart scan, then turned out to have so much coronary plaque that they had to have bypass surgery.

But I point this one out because the story is related in an interesting way. It highlights the utter ignorance that operates in heart disease detection.

The story highlights how a 50-year-old, 5 ft 8, 150 lb slender, exercising neurologist underwent a CT coronary angiogram in a newly installed device in a Hartford, Connecticut hospital (not a heart scan) that detected entirely unsuspected severe and diffuse coronary disease. You know the rest: abnormal stress test, heart catheterization, bypass surgery of the hapless doctor-now-patient, followed by grateful patient saying things like "This machine saved my life."

It probably is true. You've seen these stories before. I've witnessed these sorts of headline-makers for the past decade. I remain surprised that it still happens.

The doctor is not some ignorant, uninformed man who can't even fill out his income tax forms. Yet how does a man like this walk around with life-threatening disease and not know it? Why does it still make headlines?

Anyway, despite all my jawing about heart scans and early heart disease detection, many physicians and the public remain in the stone age of heart disease. Even though this neurologist's story made headlines, the many other people who 1) identified their heart disease earlier with a simple heart scan, then 2) took action to put a stop to it, do not make headlines. But that's the way to go.

Why isn't the rest of the story being told? Why was this man's heart disease uncovered only in its late phases? Hartford, Connecticut is not some backwater. I've been there. It's a major city with large hospitals and a University Medical Center. But a professional with presumed knowledge of health and his doctor(s) allowed this to happen?

In other words, this is not a story of success, but of failure--failure to identify coronary disease years earlier when preventive action would have prevented bypass. But that's not such a compelling headline, is it?

As an aside, I'll bet you that this man has lipoprotein(a), a severe small LDL pattern, and severe deficiency of vitamin D. Correct these and it's unlikely he'll need bypass again. But that's kind of boring, isn't it?

Comments (5) -

  • Mike

    9/11/2007 2:57:00 PM |

    The article didn't mention the doctor's diet, but I'd be willing to bet that it was high-carb/low-fat.

  • Anonymous

    9/11/2007 3:04:00 PM |

    If DR. Wade had done a heart scan instead of the CT angio, what do you suppose his CAC would have been given how serious his condition was at the point of discovery?

    Also, given how the story lays out how quickly his stress test -- no echo described -- revealed EKG abnormalities with very little exertion, it boggles my mind that he would be completely asymptomatic.  Wouldn't he have some symptoms?  Chest discomfort?  I'm amazed he didn't.

  • Dr. Davis

    9/11/2007 8:16:00 PM |

    I agree. It's surprising that no symptoms were present.

    His heart scan score was almost certainly in the thousands.

  • Peter

    9/12/2007 5:29:00 AM |

    Dr Davis,
    I have been reading your Blog for months now and have found it enormously informative.  As I read this post, your use of the words "early detection' stood out.  I would encourage the use of this term because people have a favorable response to it already due to it's use when people are talking or writing about cancer.  CT scans need to get the same "social weight" as mamograms have now.  The battle of ideas is often about how language is used.  "early dectection" is a very powerful phrase.

  • Dr. Davis

    9/12/2007 11:58:00 AM |

    Excellent point. Thanks, Peter.

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High LDL cholesterol--only

High LDL cholesterol--only

As a sequel to my last post, just how often can we blame an isolated high LDL cholesterol as the cause of coronary plaque and a heart scan score?

In other words, how often does someone prove to have only LDL cholesterol as the cause of a heart scan score . . . and nothing else? No low HDL, small LDL, lipoprotein(a), a post-prandial (after-eating) intermediate-density lipoprotein, inflammatory responses, phospholipase A2, high triglycerides, vitamin D deficiency, etc.

Rarely. In fact, I can truly count the number of people who have only LDL cholesterol as their sole cause of coronary atherosclerotic plaque on one hand. It is really an infrequent situation.

Far more commonly, people have 5, 6, 7 or more reasons for coronary plaque.

Thus, the idea that a statin drug to reduce LDL will cure heart disease is completely folly. It does happen--but rarely. I think I've seen it happen twice. Much more commonly, a program that addresses all the causes of coronary plaque yields far superior benefits.

In my view, an effort to identify all the causes is relatively easy, makes far better sense, and provides you much greater assurance that you will succeed in conquering heart disease and removing its evil influence from your life.

Comments (3) -

  • Anonymous

    5/11/2007 7:21:00 PM |

    Dr. Davis, two things check out this web site http://www.traceminerals.com/research/synx.html it appears to have some good data on Metabolic Syndrome-X:
    I would like to share some good data that I have had by following the TYP program, I was diagnosed with type 2 diabetes Feb. 15 and after that I got my second heart scan, over 600 (my age 57) a 43% increase in 18 Mo. Not good needless to say, than I found TYP in march of this year I started slowly following and implementing a TYP plan,
    Background
    In February I did not feel well and I went to the doctor(2/15) I had lost 12 lbs my % body fat was going up  the muscles in my stomach were sore at times I was so thirsty I could not stand it and my eye site was changing. Needless to say I was diagnosed as a type II diabetic   glucose 344 A1C 11.2, was prescribed new medications for both the diabetic condition( Januvia 100mg 1X per day actoPlus Met 2X per day 15mg 850mg) along with cholesterol ( Advicor 20/1000 ). I started a life style changing program.
    Life style changes
    Modified eating program- went to a low GI high Vegetable protein including soy no or almost no Fats, eat as much as I want .(needless to say I have changed this plan)
    Quit smoking
    Increased exercise- walking on treadmill 7%grade 3.75mph from 30 min. to 30 min twice a day
    My Medications were changed Advicor 20/1000; Lisinopril-hydrochlorothiazide tablets 10-12.5 mg and a 325mg aspirin
    April started on the TYP plan, my Glucose average was way up, my total cholesterol number was 100 but my LDL-P was 1015 and my small LDL-P was 913 along with a HDL-C of 30  went on the TYP program
    Had my Vitamin D checked -it was low , had my DHEA checked it was low, had my Magnesium checked it was low, after my discussion with you came off Lisinopril , ( we are seeing were this settles out to pick the right med's) stopped talking all diabetic med's added two other supplements R-ALA , PGX Fiber Blend (instead of oatmeal too many carbs) along with Vit D, Magnesium, DHEA , 15 grams of soy protein Fish oil, healthy Fats, no wheat products, Dark chocolates L-Arginine.   I have had a additional blood test for these items (Vit D magnesium, DHEA) adjusted supplements body fat down to less than 14% WHAT A DIFFERENCE, in the last 11 days  my fasting glucose numbers are between 84 and 103 that’s normal, before they were above 125 solidly Diabetic (since Feb even with diabetic medications) my doctor has never seen this much improvement without medication, on someone that had a 12 week ave of over 340.I do not know who is more anxious to see my next lipid profile me or my doctor  . I'am scheduled in three weeks.
    Needless to say i also beleive that very few people can just take one pill and be cured. I hope i'am alive when they do find the magic cure (and i think they will) but right now the TYP plan is the best game in town. Eugene

  • buy jeans

    11/3/2010 3:12:33 PM |

    Thus, the idea that a statin drug to reduce LDL will cure heart disease is completely folly. It does happen--but rarely. I think I've seen it happen twice. Much more commonly, a program that addresses all the causes of coronary plaque yields far superior benefits.

  • viagra online

    4/19/2011 8:16:49 PM |

    I knoe a lot about the Cholesterol!
    LDL particles vary in size and density, and studies have shown that a pattern that has more small dense LDL particles, called Pattern B, equates to a higher risk factor for coronary heart disease!!My grandpa died for this reason, I think that it was terrible!!

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