I dunno, just take the orange wedge out completely and shift the diary rec's to full fat instead of low fat and it would be a pretty good plan!  I notice that they recommend both eggs and beef in the protein section!!!

Hard to justify all those subsidies if you don't recommend eating the product you subsidize.

Pharmacology depends on an unhealthy diet as well.

Now excuse me while I polish my tin foil hat some more.

Saw this and thought of you:
http://www.youtube.com/watch?v=qDYKHduoQ00  Woman 'can't stop eating' cornstarch [NBC: 6-03-2011]

The idea that we should get nutritional advice from the Department of Agriculture should tell everyone the purpose behind the advice is nothing but promoting the increased sell of agricultural products. Now there was a time when that might have been acceptable - say around the 1700's or so - but with the devolution of farming in the US and the bastardization of foods and farmin and farm animals alike - it is akin to buying in big on the eve of the Market Collapse of 1929.

The clue to perpetuating sickness is to oversimplify, never provide details, supply conflicting information incessantly and encourage people to trust the "experts" - most of which haven't a nickels worth of common sense left in their brain account or haven't done a nickels worth of research on a topic.

"The USDA should stay out of the business of offering nutritional advice. They are very bad at it. "

I love it!  I wrote about this today too.  I do think the plate is an improvement over the pyramid.  But I did some tweaking and made my own plate that I like a lot better: http://knitfitter.blogspot.com/2011/06/new-usda-nutrition-plate-and-my.html

"It looks to me like the USDA has not only failed to keep up with the evolution of nutritional thought, but has regressed to something close to advising Americans to go out and buy stocks on the eve of the 1929 depression. "

I agree, this is like the fox guarding the hen house.  There's no way the government should be allowed to advise us on what to eat since the agricultural business segment has such a powerful lobby.   I actually liked this plate, only because it was far better than the food pyramid, which mistakenly emphasized more carbs and less fat.  At least now they have shifted the direction to fewer carbs and more fat.  I think of it as the lesser of evils - so the MyPlate isn't right but it's better than the food pyramid.  I wrote a post on it at http://cravingsugar.net/the-new-food-pyramid-myplate-usda-says-eat-less-carbs-more-fat.php.

I agree that the USDA is bad at it, and that there are powerful interests influencing the message.  For instance, when the last food "pyramid" was unveiled,  advice to avoid sugar that was originally included had been taken out, thanks to the sugar lobby.

On the other hand, there are some well-meaning people involved, trying to get a message out.  They may be misguided in some ways, but not everyone promoting this is corrupt.  With the current obesity epidemic, there's a lot of genuine public health interest in getting a good "message" out about nutrition.  Having worked somewhat in that field, I know the impulse in an earnest one.  

Here's what Pee Wee Herman would call the "Big But": your readers, who can converse intelligently about AGEs and sdLDL are a world apart from *most Americans,* who first must get their hand out of the potato chip bag and their lips off the 64oz value-sized Dr. Pepper.  The USDA, whatever its faults, is trying convey a message that can be understood, and a goal that can be achieved.  

I think messages like "eat a rainbow," "eat your colors," or "fill half your plate with vegetables" are better slogans - partly because I don't think grains and dairy are necessary*, and that improperly prepared grains and all gluten grains are problematic (I take a more nuanced position than Dr. Davis).  But I do think part of the reason the USDA's "plate" is so dumbed-down is that complex messages just don't work in public health.  

(*Though I do feel dairy's necessary for me!)

P.S.  I love how butter and fortified margarine used to be their own food group!

Was wondering if anyone had looked at the effect on farming if everyone switched from wheat and grains? Obviously the effect on the processors, Nabisco, Kellogg's would be disastrous which is why it probably won't happen, but would there be enough, beef, pork, chicken, egg, diary, production to go round?  Could wheat fields be switched over to cattle or rearing or should they produce bio-fuel instead? Arguably we all eat too much so we could just dump the grains portion and maintain existing meat/fish/dairy. But our diet has been somewhat determined by being able to produce enough food for a booming population on a small planet. "Food for thought" anyway.

Hi Paul Lee,
Maybe  global protein needs could be met 100% by converting the grain fields over to growing substrate feed stocks for poultry or iguana meat.  A diet of always only  protein  would  not be  great,  so you need to figure out what  you intend to complete human  nutritional needs with.  Cereal grains are just so convenient  for energy calories that most nations rely on them; they don't need refrigeration,  transport easily and have long storage.

Agribusiness has undoubtedly increased yield and thereby enhanced accessibility and reduced price. But I fear they have also created a house of cards that, in many ways, many be unsustainable or will yield unintended effects.

The painfully familiar food recalls from E. coli or Salmonella contamination that result from factory farming and other mass production practices will inevitably catalyze a return to organic, old-fashioned farming methods with higher prices, a concentration on necessary foods and not "luxury" junk foods.

That sounds like a good thing to me.

Paul raises a crucial point: How do we make the switch to a world without modern high-yield wheat without a cataclysmic shift in economics? I don't know. But it will be much like the gradual shift from mass produced eggs to free-range, organic eggs, just on a much larger scale. It will be a process that won't occur next Tuesday, but hopefully over the next 50+ years. In the meantime, tens of millions of people will unknowingly suffer from consumption of this thing being sold to use called "wheat."

Interesting stuff, and Might-o'chondri-AL, I try and get at least 50% of total calories from fat. Without wanting to drift OT,  I don't know whether you have seen this news in the States there has been major problems with German grown (organic) vegatables (cucumbers, tomato's etc) with E.coli (Spanish veg was blamed at first). Literally thousands of tons of veg are being dumped. Salad is certainly off the menu in Europe this week!

"The painfully familiar food recalls from E. coli or Salmonella contamination that result from factory farming and other mass production practices will inevitably catalyze a return to organic, old-fashioned farming methods with higher prices, a concentration on necessary foods and not “luxury” junk foods."

I am loving this! I hope this becomes the reality-- sooner the better.

It's bad that the government is wrong, but the media multiplies it many times over by parroting these guidelines to public. For example, the US News Diet Rankings:

http://health.usnews.com/best-diet/best-overall-diets

Some of my comments on my blog:

http://health.usnews.com/best-diet/best-overall-diets

My advice: The USDA should stay out of the business of offering nutritional advice. They are very bad at it. They also have too many hidden motives to be a reliable source of unbiased information.

I don't think they will stop offering advice since so many people seek guidance.
Your advice should be:  Ignore the nutritional advace offered by the USDA.  It is very bad advice because they have too many hidden motives to be a reliable source of unbiased information.  Seek nutritional advice from more reliable sources.

Unfortunately, how do we know which sources are reliable?  Vegetarianism makes sense.  What do they have to say?

I think the grain section should be dumped entirely and fruit section should a sliver at best or there should be some mention that those with blood sugar issues may want to greatly reduce ALL fruit.  I find that the tolerance to fruit is highly individual.  Since I lowcarb and my fasting sugars are usually mid 80s unless I've had an unusually large late night meal in which case it can be mid 90s -- I was shocked to see what the allegedly lower sugar fruits such as raspberries and blackberries (both high fiber too) are really doing to my sugar since I started self testing.  I am beginning to think that with my genetics and age, even the so-called healthy berries can be the devil.

I am 5'2.5" and weighed 107.5 this morning.  I'm in my late 40s and only medication is armour/cytomel for hypothyroid.  Both parents and only sibling are type 2s -- dad was a slender type 2.  Ex: This morning fasting sugar was 86.  I had a black coffee and skipped breakfast and went on a long brisk walk (1.25 hour) in the heat.  At brunch at 1:00PM consisting of 3 soft boiled pastured eggs; a few ounces (2 or so) of leftover grassfed ribeye; 6 olives (I sweated a lot outside and needed more salt despite salting eggs and steak-- I eat no processed food except canned sardines and find I need extra salt sweating in hot sun or I get extremely weak, very low blood pressure etc); and now for the grand mistake -- 1 cup of mixed blackberries/raspberries.  I took my sugar 15 minutes later and it was 128; 15 minutes later; 138; 15 minutes later 123; 15 minutes later 118 etc

I have eaten similar to the above meal minus fruit but adding large amounts of raw freshly shelled hazelnuts and my blood sugar will not spike anywhere near 138 despite adding several hundred more calories.  I've even checked numerous hours later to see if there is a late spike and while the highest point does take longer with large meal containing big amounts of nuts (slow digestion) and no spike -- a slow steady rise generally never going over 115 and coming back down over the next few hours.  

So fruit sugars can be the devil for some of us and given the diabetes epidemic -- I think the fruit wedge should be much much smaller or come with a caveat.  Or better yet, given the disasterous history of government dietary recommendations, perhaps the government should stay out of our kitchens entirely.

all should keep in mind that 4 grams of sugar is equal to one teaspoon.  31 grams is 7 teaspoons plus; not exactly what one would think in what is promoted to be a healthful product!

Like most juices, pomegranate juice just has too much sugar.  There is a reason why a juice glass is very small!

I don't buy pomgrante juice anymore, and when I did I would water it down.  100% is very expensive too.

Another thing about pomegranate juice, people might be surprised to find that many of them are not 100% pomegranate, but a blend of several juices.

At what point do the positive health benefits of pomegranate outweigh the bad parts of fructose?

Thanks for your great blog! Your information on wheat and sugar is a must read for anyone serious about their health. I like your blog so much, I added a link to it at my blog at http://eatingandfasting.blogspot.com/

Dr. Davis,

Are you implying that there is no difference between a glass of Kool-ade and a glass of fresh Orange Juice?

IMO, the problem is not fructose. The problem is highly refined sugar sources that are isolated from their highly complex natural matrix of fiber, vitamins, minerals, flavanoids, antioxidants, enzymes, amino acids--all which act in synergy together.

That's why PJ reduced atherosclerosis by 35% compared to control group, lowered BP by 20%, increased antioxidant status, and did not raise blood sugar.

(FYI, I happen to have heterozygous FH and drink daily one full glass of PJ along with one full glass of concord grape juice, and 97% of my LDL particle size remains large, my blood sugar is perfect, and my apo B is not too high. I do avoid refined sugars and carbs, however.)

So please, Dr. Davis, don't compare an apple with a candy bar.

Nephropal on fructose

Guava juice used to be my particular poison - literally speaking. But it's just not worth the hit to my metabolism. It's been awhile since I last drank any fruit juice and it will be never before I drink it again.

It's an uphill battle to get people to realise the dangers of fructose, particularly when food manufacturers are allowed to put "No sugar added" on the label. Have them put the grammes of sugars the whole bottle contains on the front of the container in large bright type. It won't stop everyone, but it may help a few people make healthier choices.

Pomegranate juice more than triples PSA doubling time.Is that significant?

I like to dilute the pomegranate juice with vodka.  That way I only use a couple of ounces of juice at a time, minimizing the fructose but still getting some flavanoids.  Of course once the long term study on this regimen comes out I may have to revise my view.

It's the same flawed logic of "healthy whole grains": If it contains something good (B vitamins, fiber), then it must be good. And it must be even better when consumed in greater quantities.

Just because it contains one or two desirable ingredients doesn't mean that the entire "package" is desirable,

There's always pomegranate extracts.  You can get the polyphenols in a pill without all the sugar.  I'd be interested in what Dr. D thinks about this form of "sugar-free pomegranate".

Dr Davis,What about the research on pomegranate juice and PSA doubling time?

Can you also comment on the reported benefits of cranberry juice in preventing urinary infection?

Thanks,JC

You are absolutely right that fruit can contain large amounts of fruit sugar, and that large amounts of fructose can have serious consequences. The idea that fruit juice must be good (in any quantity) is not supported by the evidence.

But fruits are more than sugar and moderate amounts of fruits and fructose are not inherently bad - the question is what is reasonable. For those of us with fatty liver, certain patterns of dyslipidemia, or a GI fructose intolerance, the ideal amount is very low. For those who don't fall into that category, the ideal amount of fruit is somewhat greater (but probably less than most people assume).

I can't remember the last time I saw someone outside my household drink juice from a small juice glass.  Most people I see drinking juice are consuming quantities of juice that practically rival a 7-Eleven Big Gulp.

Many days I squeeze a half orange to make a couple ounces of OJ to mix with cod liver oil to make the CLO palatable for my young son.  

To fill a 4 oz juice glass (with about 3-3.5 oz juice), it takes 1-2 oranges, which means that larger glasses of OJ contain the sugar of a whole lot of oranges!  Who would ever eat that many whole oranges in one sitting?

Also, I know from using a glucose meter that OJ sugar is nearly instantly into my blood stream (and that isn't even measuring the affect of the fructose portion of sugars.  The glucose spikes an insulin response and later a nasty feeling low BG.  So I approach fruit juices with extreme caution and limitations on both quantity and frequency.  I eat whole lower sugar fruits in extreme moderation (avoiding higher sugar tropical fruits).  I focus more on non-starchy veggies rather than fruit, anyway, because veggies are high in the nutrients I want without the excess sugar that fruit has.        

Not long ago I was in waiting in line at a Starbucks to order an Americano (lack of local coffee shops at that particular suburban area) and right next to me a dad was reading aloud to his young daughter the number of grams of sugar from her “fresh-squeezed 100% fruit juice” bottle label. He noted incredulously there were 30-something grams of sugars per serving and there were 2.5 servings per bottle. He said  â€œwow, that’s a lot of sugar in that bottle”. I thought to myself, wow, here’s a dad who is “getting it”, so I said to him, “there’s 4 grams of sugar to a teaspoon, so that’s at least 7-9 teaspoons of sugar per serving, very nearly the sugar content in soda.”

His response was, “but it’s fruit sugar, and she doesn’t eat enough fruits and vegetables, so I guess that’s ok.” Sigh. I let it go, and ordered my Americano (unsweetened).

I've had many interesting conversations with a glycobiologist colleague of my husband's.  He has confirmed I'd be wise to keep all sources of fructose intake to a minimum, as well as being especially wary of concentrated sources of fructose.    I'm sure he follows his own advice; he's looks at least 15 years younger than his 60 years - lack of AGEing, I guess.

Tell this stuff to a dietician and they won't believe you "but it's low fat!"

My BG meter tells me fruit juice is an exceedingly toxic substance, and most of my once favourite fruits aren't much better.

Fortunately it permits me to eat a few berries, but I'd rather get my bioflavinoids etc. from vegetables.

IMO there's a balancing point between the beneficial and non-beneficial properties of many foods, we probably evolved to deal with small acute doses of toxins but fall apart with chronic exposure to high levels of the same stuff, and all the bioflavinoids and vitamins don't outweigh the damage.

I just stuffed some strawberries in my face following my lamb chops and runner beans, but only a few, and I washed them down with a fine Bordeaux, that'll about achieve a balance.

i have been using Pomegranate juice for 3 years every day after i had 2 stents placed. i also had type 2 diabetes. It has worked very well for me and has not effected my A1c in the least. My cardilogical nuclear studies have been perfect. i am a believer my opinion this stuff can save your life.

ink it should be avoided by sugar patients.It contains almost a spoon of sugar...though with wheat bread the whole effect of the meal is balanced.

http://www.nutraingredients-usa.com/Research/Pomegranate-juice-shows-possible-diabetes-benefits

Quit being sugar paranoid.

What a great post.

Here is another that I found that posts some great research!

Pomegranates link to lower blood pressure, lower cholesterol, and decreased cancer

Remember: Fructose increases LDL cholesterol, apoprotein B, small LDL, triglycerides, and substantially increases deposition of visceral fat (fructose belly?). How about a slice of whole grain bread with that glass of pomegranate juice? The Heart Association says it's all low-fat!