Wheat "debate" on CBC

"Many Canadians plan warm buns, stuffing and pie for their Thanksgiving meals tonight. But I'll speak with a cardiologist who thinks we have no reason to be thankful for any food that contains wheat. William Davis says our daily bread is making us fat and sick."

That's the introduction to my recent interview and debate on CBC, the Canadian public radio system, aired on the Canadian Thanksgiving. Arguing the other side was Dr. Susan Whiting, an academic nutritionist. (I use the word "arguing" loosely, since she hardly argued the issues, certainly hadn't read the book, but was content to echo the conventional line that whole grains are healthy and cutting out a food group is unhealthy.)

I do have to give credit to the Canadian media, including the CBC, who have been hosting some rough-and-tumble discussions about the entire wheat question despite Canada being a world exporter of wheat. I recently participated in another debate with a PhD nutrition expert from Montreal who, in response to my assertion that the genetically-altered high-yield, semi-dwarf strains have changed the basic composition of wheat, argued that the creation of the 2-foot tall semi-dwarf strain was a convenience created so that farmers could see above their fields--no kidding. I stifled my laugh. (The semi-dwarf variants were actually created to compensate for the heavy seed head that develops with vigorous nitrate fertilization that buckles 4 1/2-foot tall wheat stalk, making harvesting and threshing impossible, a process farmers call "lodging." The 2-foot tall semi-dwarf thick, stocky stalk is strong enough to resist lodging.)

In short, debating the nutrition "experts" on this question has been tantamount to arguing with a school age child on the finer points of quantum physics. There has not yet been any real objection raised on the basic arguments against modern genetically-altered wheat. Modern semi-dwarf wheat is, and remains, an incredibly bad creation of the genetics laboratories of the 1970s. It has no business on the shelves of your grocery store nor on the cupboards in your home.

Comments (29) -

  • Tracey Mardon

    10/11/2011 3:03:04 AM |

    Hello Dr. Davis, I had no idea about either you or your book 2 1/2 years ago when I entirely removed gluten from my diet but I wanted to say I experienced all of the positive responses you spoke about. No more migraines, acid reflux, sore painting shoulder, lost 35 lbs without feeling I was dieting. I was also able to incorporate a morning Yoga program every morning and find that I'm naturally more disciplined in thought and action. I would bet that I'm effectively 20 years younger. Thanks for speaking out, it will be worth it if we can do anything about diabetes!

  • arlene

    10/11/2011 5:17:57 AM |

    I heard this interview!  The "debate" was pathetic. The argument by Dr. Whiting amounted to "but what you are talking about is an Atkins diet, so your conclusions don't matter.  Nothing matters except that you are promoting an Atkins diet"  She had NO new information, and nothing to back up her asertions that you can't be right.  I was embarassed for her, but more convinced than ever that there is no sound arguement to spport eating wheat.
    I gave up wheat in April of this year.  I have lost 35 pounds, and 5 1/2 inches on my waist.  I have been eating more, not less calories.  I went from being almost couch bound several days of the week from severe "fibromyalgia" symptoms, to forgetting I even had problems which left me in a fog most days. I see no reason to eat wheat.  After the fact, I am reading your book and discovering the "why" behind my miracle.  I purhcased your book so I can read it, pass it around to everyone I know, and tell them to buy one and do the same!  
    Thank you, Dr. Davis!

  • Soul

    10/11/2011 11:23:28 AM |

    I'm rather chuckling mentioning this, but as you probably picked up I enjoy the 90s group Nirvana.  What originally attracted me to the group was the band's song writer having a bad stomach problem, similar to mine.  I recall reading after he committed suicide, and by the note he left that was due to the stomach problem and drugs being taken to deaden the pain,  that Kurt had worked on avoiding different foods.  He did this with the hope of improving the condition.  Never did see him mention avoiding wheat.  Oranges were a concern of his as "they made his gums bleed."  There were other items he stayed away from too.

    I recall even then, middle 90s, thinking that Kurt probably was a celiac, could have found some pain relief avoiding wheat, and probably would be with us today if he had done so.  Looking back I should have taken my own advice!  I had tried eating wheat free back then, found some relief, but never enough to continue eating that way I thought.  What I didn't realize was that it took more than a month to find significant gut relief.  And it probably would have helped if I had support encouraging me to continue from doctors and family.    

    So, anyway!   This is the 20th anniversary year of when Nirvana's famous album came out.  And with that has come a release of digitally remastered album plus new songs.  I was laughing at the lyrics to this tune, School.  I can relate when witnessing internet debates!    

    Nirvana - School
    http://www.youtube.com/watch?v=0xCgwXWEQ10

  • Dr. William Davis

    10/11/2011 12:24:02 PM |

    Yes, sad when the solution may have been so simple: Just avoid the food that all "official" agencies tell us to eat more of.

  • Dr. William Davis

    10/11/2011 12:25:06 PM |

    That's great, Arlene! 5 1/2 inches off your waist is fabulous.

    I, too, was kind of embarassed for her. I don't think she knew what she was getting into!

  • Dr. William Davis

    10/11/2011 12:26:58 PM |

    Hi, Tracey--

    I'm happy you've found this solution. However, you and I remain in the minority. There are people struggling with all manner of health problems, sometimes disabling, not getting answers from their doctors . . . and the solution can be as simple as removing all wheat. So this is a message worth repeating over and over and over again.

  • Jom Crawford

    10/11/2011 1:35:36 PM |

    Dr Davis

    Read your book with great interest. I am a type 2 diabetic and have taken all the steps to control levels. (exercise, weight loss, low carb, etc). My one concern is the elimination of oats. I have received excellent H1N results while consuming my favorie morning oatmeal porridge. Should I stop?

    Jim

  • Mary

    10/11/2011 2:26:49 PM |

    I get sad thinking about how so many people in my life have suffered.  My Mother had Parkinsons with dementia diagnosis and suffered terribly for 7 years til she died.
    I suspected Diabetes because she had peripheral vascular disease and poor wound healing but the blood test always showed her sugar within normal ranges.
    She craved pastries and acted like a crack addict begging for them, then would spend hours in a carb induced coma after eating them.  She died at 89 but suffered many years of her life, she tried to commit suicide before I was born and spent a year in hospital getting electric shock treatments.  She had yearly seasonal depression after that, crying for months in the winter.
    My father lived to be 94 but he had 4 major heart diseases and needed 4 nitroglycerine tabs just to get dressed in AM.  He always said he felt best when he didn't eat.  Now in hindsight I know better.  I have struggled my whole life with stomach pain.  I had a small bowel biospsy 15 years ago but it was negative for celiac.  I facilitated a support group for celiac at a local hospital and lived gluten free for several years but was never one hundred percent better, now I realize because I was drinking soda and gaining weight eating all the gluten free products.  I had surgery this past December and had great difficulty recovering, symptoms of fatigue and chronic muscle pain returned to my life again.   Thanks for your book Dr. Davis, it has reminded me to go wheat free for good.  I know I feel better wheat free, dairy free and sugar free.  I gained 20 lbs after my surgery
    due to inactivity from muscle pain and eating fast food carb meals.  I was caught in a vicious cycle of feeling aweful.  Fibromyalgia symptoms to the extreme, my thyroid function is low and my Vitamin D was at 14.  I have started wheat free for a week now, lost 4 lbs and feeling much better but still residual muscle pain.  I have a doctors appointment to persue thyroid treatment, I have been seeing a Natropath who gave me thyroid and adrenal gland supplements and I feel better but not 100% after 2 months of taking them.  Is it possible for thyroid function to return to normal after a time period of staying strictly wheat free?  I hate the thought of taking medicine the rest of my life.
    Everyday I think of a friend, family member or celebrity that has died who might have been spared by going wheat free.  RIP...Mom, Dad, my husband Joe(non smoker lung cancer, major sugar/wheat addiction) Chris Farley, Steve Jobs (an article I read said he didn't eat animal products).Patrick Swazy. Linda McCartney (vegetarian frozen meals).  I know many of these people have had other vices like drugs and alcohol but I strongly believe that wheat is a gateway substance that can lead to addiction.  My husband drank beer every evening and ate ice cream everyday for 26 years that I knew him.  He was thin and worked hard everyday thus didn't ever see he had a problem.  He had chronic pain, allergies, skin rashes. Addicted to beer, could not stop drinking it even with cancer diagnosis and chemo treatments.  Finally quite when radiation tx damaged his throat but was too late for him.  Sorry to ramble on but just am overwhelmed with all the connections I'm suspecting.  Thanks for having a place to vent.

  • Joe Lindley

    10/12/2011 2:41:01 PM |

    Dr. Davis,
    Go get 'em!   Maybe you can get on the Dr. Oz show!  You and Gary Taubes can sit on the couch while Dr. Oz eats whole grain cereal with Soy Milk!

  • Kane Augustus

    10/12/2011 11:50:51 PM |

    Dr. Davis--

    I think someone has taken you up on your book.  Her name is Melissa McEwen.  I read her article this morning.  You might find it interesting: http://huntgatherlove.com/content/wheat-belly

    Take care,
    Kane

  • john townsend

    10/13/2011 5:06:22 PM |

    I struggled my way through this review ... a bewildering rambling rant that goes nowhere with plenty of distracting irrelevant fillers thrown in for good measure. The pervasive derisive mocking tone is also off-putting. It’s this kind of “noise” that blurs and dilutes an important message unfortunately.  One case in point (amongst a myriad) in the review is the dismissive incoherent treatment of the high glucose and high insulin impact of wheat. Personally this is the one key aspect of Dr Davies thesis that really impressed me, after seeing how one slice of wheat bread caused my blood sugar level to go through the roof. I also have plenty of anecdotal evidence (and growing) that Dr Davies is onto something.

  • Cynthia Ledger

    10/13/2011 6:18:57 PM |

    "Attributes" which get cured......

    Have you seen unintended consequences?

  • alex

    10/13/2011 6:58:19 PM |

    Maybe it has nothing to do with any modification of the plant but maybe the plant itself???

    http://www.livescience.com/14194-egyptian-mummy-heart-disease.html

  • Daniel

    10/13/2011 10:34:16 PM |

    I've been a Registered Dietitian for 7 years and I'm appalled when I look back at my incredibly biased education.  An hour on PubMed disproves a majority of the conventional "wisdom" I was force fed, especially the ongoing demonization of saturated fat.  Its a joke. I'm glad to see more medical practitioners like yourself speaking out.  The studies showing the damaging effect of gliadin on the intestenial wall in supposedly health, non-celiac individuals is alarming to say the least. Keep it up!

  • James Buch

    10/13/2011 11:50:46 PM |

    The USDA has just published an evaluation that the "new varieties" of broccoli have the same vitamin and mineral content of the older ones.
    http://www.ars.usda.gov/is/pr/2011/111013.htm

    The headline and first paragraph of the web page are given below. When will they do "wheat"?

    USDA Research Demonstrates New Breeds of Broccoli Remain Packed with Health Benefits
    By Sharon Durham
    October 13, 2011

    WASHINGTON—Research performed by scientists at the U.S. Department of Agriculture (USDA) and published recently in the journal Crop Science has demonstrated that mineral levels in new varieties of broccoli have not declined since 1975, and that the broccoli contains the same levels of calcium, copper, iron, magnesium, potassium and other minerals that have made the vegetable a healthy staple of American diets for decades.

    http://www.ars.usda.gov/is/pr/2011/111013.htm

  • Dr. William Davis

    10/14/2011 12:58:02 AM |

    Good for you, Daniel!

    I am waiting for your and your colleagues to stage a revolt. Let me know and I will hold up the placards and yell with you!

  • Dr. William Davis

    10/14/2011 12:59:06 AM |

    Hi, Cynthia--

    If you mean unintended consequences of wheat removal, yes: the withdrawal phenomenon. This affects somewhere around 30% of people. It is harmless, though no fun to experience.

  • Dr. William Davis

    10/14/2011 1:02:07 AM |

    Hi, Kane--

    I found this about as interesting as saying to someone, "I don't like your face."

    I've stumbled on her blog from time to time and found it interesting and insightful. I was surprised by this blatant "I don't like it because it's stupid" kind of criticism with no real substance. Maybe she had a bad day.

  • Dr. William Davis

    10/14/2011 1:04:10 AM |

    It is absolutely ovewhelming, isn't it, Mary, when you stop and think how many people may have had serious brushes with the wheat demon, yet nobody ever suspected?

    My prediction: Wheat will prove to be among the most powerful provokers of gastrointestinal cancers. Everyone was falsely lulled by comparing whole grains to white flour that showed a relative reduction in risk. Replace something bad with something less bad, the less bad thing looks good. Flawed logic.

  • Dr. William Davis

    10/14/2011 1:05:10 AM |

    Well, it depends on what you mean by excellent H1N (HbA1c?).

    I aim for HbA1c of 5.0% or less, a level at which glycation is not occurring faster than the normal endogenous rate.

  • Cynthia Ledger

    10/14/2011 6:33:14 PM |

    There is a theory that the glutamates in wheat fill a crutial roll in wheat related intestinal porosity .....glutamate prepares epithelial tTg for attachment by wheat-surfafe HWP1.

    Do you have an opinion?

  • Dr. William Davis

    10/15/2011 1:47:16 PM |

    Hi, Cynthia--

    Not being a biochemist, I believe that is true, though I don't believe it is an effect unique to wheat, but shared by other foods.

    Boy, I hope that didn't sound like I was defending wheat!

  • Vasu

    12/12/2011 11:24:39 PM |

    Dear Dr :

    We have been vegans culturally - born and brought up in a Lacto-ovo Vegan society.  Recently, during routine annual blood tests, my husband has been diagnosed with more number of smaller particle sized LDL cholestrol.  He is at 95% level with very high risk.  Rest of the factors - triglycerides, HDL/LDL, overall cholestrol are all normal.  Also, sugar levels are normal.  He has been advised to take the suppressants due to high risk of particle size.  We have never tested this parameter before though.  Wheat, rice and burritos, pizzas and all the stuff you mention here are a part of our daily diet! We also eat Eggs, drink lots of full fat milk, homemade yoghurt .   I also use Coconut oil for most of the cooking which is for most part oil free!  We are worried about whether to wait and watch or start the medication.  If we wait - what is the optimal period to wait and what do we do during the wait period....

    Thanks for any help and a wonderful blog - helps many people like us!

  • Dr. William Davis

    12/14/2011 2:49:09 AM |

    Hi, Vasu--

    The solution for excessive quantities of small LDL particles is diet, not drugs. Please search "small LDL" on this blog and you will see dozens, if not more, posts on just this issue.

  • TheArcher

    1/6/2012 12:40:47 AM |

    I had been trying for a full year to shake free of wheat, but couldn't do it because my fix was always available in the kitchen. My husband, though he has a small wheat tummy, didn't want to quit eating wheat.

    Then we both came down with a gastrointestinal complaint, maybe something we ate? Nausea and loose stools and lack of appetite meant that for several days we drank lots of fluids and only ate to live. We both feel fine now, but thanks to the short period of illness during which time we COULDN'T eat wheat or sugars, we basically skipped the withdrawal period, and we no longer crave wheat.

    I highly recommend quitting wheat during a gastrointestinal illness; for us it was incredibly easy.  Smile

  • Tina Moore

    7/22/2012 3:41:18 PM |

    Dr. Davis:  After reading Wheat Belly and being wheat/glute-free for 2 months.  I've definately noticed less inflammation with my moderate osteoartritis of the knees & less abdominal bloating.  Friend, recently told me about UC Berkeley's Health Newsletter that disputes Wheat Belly.  WHAT DO YOU THINK OF THEIR RESPONSE?  Here's the article:

    Wheatophobia: Will Avoiding Wheat Really Improve Your Health?
      
    Wheat has long been a dietary pariah for the millions of people who have jumped on the low-carb-diet bandwagon or who think they’re allergic (or at least sensitive) to the grain. Now even more people are hesitating about eating wheat after reading the claims made by Dr. William Davis, a cardiologist and author of the bestseller Wheat Belly, which is subtitled “Lose the Wheat, Lose the Weight, and Find Your Path Back to Health.” Not only does wheat make us fat, he says, it is addictive and causes everything from heart disease, diabetes, and obesity to arthritis, osteoporosis, cognitive problems, and cataracts. In fact, it has caused “more harm than any foreign terrorist can inflict on us.”
    Wouldn’t it be great if there was a single villain behind the chronic health problems plaguing us, and if all it took to reverse them was to stop eating wheat? Don’t bet on it.

    Kernels of half-truth
    Here are some of Dr. Davis’s key points—and our counterpoints:

    Claim: Most grains are bad, but modern wheat is the worst because it has been altered over the years via selective breeding and is now a virtual “Frankengrain.” It is loaded with amylopectin A (a starch unique to wheat), which is “worse than table sugar,” Dr. Davis says, boosting blood sugar dramatically and stimulating appetite. Modern wheat also contains other components with adverse effects, and its gluten (a protein) is more likely to trigger reactions than that in older wheat.

    Fact: For well over a century, food scientists have developed hybrid varieties of wheat to be sturdier and have higher yields, better quality, and greater resistance to disease and insects. That’s true of most food crops. There’s no clinical evidence that differences between today’s wheat and older varieties have adverse effects on our health. It’s all supposition on Dr. Davis’s part, and feeds into pervasive fears of modern agricultural methods. We think this particular fear is unfounded.

    Claim: Wheat is the main culprit behind the obesity epidemic.

    Fact: Wheat is a staple in most parts of the world, and there’s little or no correlation between regional intakes (as a proportion of daily calories) and rates of obesity. Per capita wheat consumption in the U.S. has actually dropped since 2000, but there’s no sign that is slowing the expansion of our waistlines. In fact, a century ago Americans ate much more wheat than we do today, and very few were obese (granted, diets and lifestyles differed in many ways then). In any case, the obesity epidemic certainly can’t be attributed to any single factor.

    What about Dr. Davis’s claims that when he told his patients to avoid wheat they lost weight and become healthier? As with nearly all diet books, this is only anecdotal evidence, but it’s not surprising. Had he told his patients to cut out all meat or all sugary snacks, for instance, they might have done as well or better. Nearly all diets work for a while (especially in supervised settings), usually by getting people to avoid whole categories of foods and thus tricking them into cutting calories. Keep in mind, too, that Dr. Davis basically recommends a low-carb diet, and well-designed studies have found that such diets work no better than other diets in the long term.

    Claim: Wheat has played an outsized role in surging rates of diabetes, heart disease, and other chronic disorders.

    Fact: There’s no evidence that wheat bears special blame for these. Blood sugar does rise after eating bread, pasta, and other wheat products. But that’s true of any foods containing carbohydrates—even those in gluten-free products—especially if the grains are refined.
    The effect of carbohydrate-rich foods on blood sugar, which is ranked by the “glycemic index” (GI), depends on many factors, including how much fiber is in the food, how the food is processed and prepared, and what else is in the meal. Wheat ranks moderately high on the GI. But research looking at the effect of a high-GI diet on weight control and the risk of diabetes and heart disease has had inconsistent results.

    Refined wheat, like other starchy or sugary foods, can also have adverse effects on blood cholesterol and triglycerides—for instance, increasing levels of the small, dense LDL cholesterol particles that are most damaging. To avoid this, you needn’t avoid all wheat or go on a very-low-carb diet. Just choose healthier wheat products that are minimally refined or unrefined, and don’t go overboard.

    Claim: Whole wheat isn’t much better than refined wheat, so overweight people and those with chronic diseases should avoid it as well.

    Fact: Many studies have linked higher intakes of whole grains (including whole wheat) with a reduced risk of diabetes, heart disease, and stroke, as well as improvements in blood cholesterol, blood pressure, and blood sugar control. Other studies have found that whole wheat can help people control their weight and/or lose body fat, especially when they eat it in place of refined-wheat products. Thus, the Dietary Guidelines for Americans, American Heart Association, American Diabetes Association, and most nutrition experts recommend foods made from 100% whole grains.

    BOTTOM LINE: Unless you have celiac disease or another type of gluten intolerance or sensitivity (see box above), there’s no reason to avoid wheat. No doubt many Americans eat too much refined wheat, usually in the form of cakes, cookies, pizza, and other foods loaded with added sugar and/or fat (which can double or triple the calorie count), as well as lots of sodium. Cutting down on such wheat products can help people lose weight and improve their overall diet, provided they substitute lower-calorie foods. But 100% whole-wheat and other whole-grain products can fit well into a healthy diet, as can many refined-wheat dishes that include nutritious ingredients, such as pasta with vegetables. As with so many dietary matters, moderation is the key.



    Gluten for punishment
    There’s one very good reason to avoid wheat: if you are allergic to gluten because of celiac disease, also known as gluten-sensitive enteropathy or nontropical sprue. Gluten is a protein in wheat that makes dough elastic and smooth; it’s also in rye, barley, and certain other grains.

    In people with this genetic disorder, gluten provokes an autoimmune response that damages the small intestine and may cause symptoms such as diarrhea, bloating, cramps, abdominal pain, weight loss, fatigue, and loss of appetite. Celiac disease has become more common in the past 50 years for largely unknown reasons. It’s now estimated that about 1 in 100 people in the U.S. and Canada have it. If you have a parent or sibling with the disease, your risk rises to 1 in 22; having an aunt, uncle, or grandparent with it increases your risk to 1 in 39.

    Celiac disease can begin at any age and occurs more often in people of European descent and in women. Many people with it go undiagnosed or are misdiagnosed, however, because there may be no gastrointestinal symptoms—and when there are symptoms, they’re often nonspecific (that is, they could be caused by many disorders). Celiac disease causes malabsorption of key nutrients, notably calcium and iron, so it can lead to osteoporosis, anemia, and other serious health problems. People with it are also more likely to have other autoimmune disorders, such as psoriasis, lupus, Crohn’s disease, and certain types of thyroid disease.

    Confusing matters, about 6 percent of Americans are thought to be gluten-sensitive but don’t have celiac disease, according to the Center for Celiac Research at the University of Maryland. There’s much debate about this condition, sometimes called “nonceliac gluten sensitivity,” and about how prevalent it is. Because so many people now believe they are sensitive to gluten, rightly or wrongly, “gluten-free” has become one of the fastest growing sectors of the food industry.

    Before giving up gluten, get tested
    If you have chronic indigestion or other symptoms suggestive of gluten sensitivity, consult your doctor and get tested for celiac disease before going on a gluten-free diet. (Long-term avoidance of gluten can interfere with the diagnostic tests for celiac disease.) A positive result on the blood test should be followed by a biopsy of the small intestine to confirm the diagnosis. If celiac disease is ruled out and you continue to have problems, you can be tested for nonceliac gluten sensitivity via an “elimination and provocation” diet.

    If you have a family member with celiac disease, you should be tested even if you have no symptoms, since diagnosing and treating the disease can help prevent intestinal damage and serious complications. Many gastroenterologists advise initially having a simple genetic test for predisposition to celiac disease.

    Few people are properly diagnosed for gluten problems, however, according to a paper in the Annals of Internal Medicine earlier this year, which warned that many are undoubtedly going on highly restrictive diets unnecessarily.

    It’s best to consult an experienced registered dietitian if you have celiac disease. You can—and should—eat other healthy grains, including corn, rice, oats, buckwheat, quinoa, and amaranth. Look for “certified gluten-free” on labels, since products can be cross-contaminated with gluten. Keep in mind, most “gluten-free” packaged products are made from refined flour (albeit gluten-free flour) and are not particularly nutritious, and many are junk food.

    For more information, you can contact the Celiac Disease Foundation or the Celiac Sprue Association.
    Issue: August 2012

  • Dr. Davis

    7/31/2012 11:54:36 AM |

    Whoever wrote this clearly did not read the book with an open mind. ALL the questions are addressed in the book.

    This is the stuff that the dietitians are arguing, a "rebuttal" based on conventional notions of wheat.

    Rather that have to pick each argument apart to debate with people who clearly do not want to change their opinions, please just read the book.

  • Christoph Dollis

    8/16/2013 1:10:23 AM |

    I don't know if you're right or wrong (about wheat being worse than other starch sources), but am going to give you the benefit of the doubt, remove it, and see what happens.
    P.S. Listened to the debate between you and Timothy Caulfield. What an embarrassing hack he was.

Loading
What vitamin D form?

What vitamin D form?

In response to questions regarding why don't vitamin D tablets work, here are my observations.

When I first started correcting vitamin D levels around 3 1/2 years ago, people would begin with starting 25-hydroxy vitamin D blood levels of around 20 ng/ml.

Taking, say, 6000 units vitamin D as tablets over 3 months yielded blood levels of 24-30 ng/ml. Taking 6000 units in an oil-based form, and blood levels would commonly be 60-70 ng/ml.

In other words, tablets are very poorly absorbed. I also saw very erratic absorption with tablets, with tremendous variation in blood levels.

I witnessed this effect many times. I finally began telling patients to avoid the tablets altogether. It's simply not worth it. Taking dose X of tablets, you cannot predict what the blood level of vitamin D will be.

Now, you can sometimes make the tablets get absorbed by either taking with a teaspoon of oil (e.g., olive, flaxseed) or taking with an oil-rich meal. However, I am uncertain just how consistent the absorption is under these circumstances, not having done this enough times to know.

Oil-filled gelcaps are no more expensive than tablets (or perhaps a dollar more). Health food store employees and pharmacists don't know this. I have had many patients come to the office claiming they changed to tablets because that's all their health food store or pharmacy carried and the person behind the counter assured them it was the same. Blood level of vitamin D to confirm: right back down to the starting level or near it--little or no absorption.

The only way to know whether a preparation is absorbed is to check a blood level. But, in my experience, having checked vitamin D blood levels thousands of times, gelcaps never fail; tablets fail over 80% of the time.

Comments (36) -

  • TedHutchinson

    2/16/2009 9:13:00 AM |

    Effective strength D3 is not available over the counter in the UK. UK readers have to buy from the USA.
    http://tinyurl.com/8znjue
    Iherb do Now foods 5000iu D3 in olive oil capsules very cheap.
    Orders £18 or over are not only subject to Customs duty but our Post Office charges £8 extra to collect the tax.
    Using Iherb $5 discount code such as WAB666 reduces the price of 360 to under the tax threshold. Leaving the daily cost including P&P to 5.25p daily

  • TedHutchinson

    2/16/2009 12:01:00 PM |

    http://tinyurl.com/ch5262
    May I also draw readers attention to this half hour video from Cedric Garland about Vitamin D status and cancer incidence and progression.
    You will note Garland suggests 60ng 150nmol/l for lowest cancer incidence.

  • fritz

    2/16/2009 1:48:00 PM |

    Is the vitamin D from cod liver oil effective?

  • Anonymous

    2/16/2009 2:10:00 PM |

    Slightly off topic, but I just read that congress is going to vote on a bill to cut medicare coverage of vitamin D levels, so now we will have to rely on private insurance, or simply pay ourselves.

    Jeanne shepard

    By the way, I prefer not to be "anonymous" but the Google Blogger doesn't remember my password, and won't let me select a new one.

  • Anne

    2/17/2009 3:28:00 AM |

    Some of the vitamin D experts warn against using cod liver oil. http://www.vitamindcouncil.org/newsletter/2008-december.shtml

    One concern is too much vitamin A if you took enough of the cod liver oil to get the D you need. Another is that vitamin A and D compete with each other.

  • TedHutchinson

    2/17/2009 10:18:00 AM |

    fritz
    Read what Dr Cannell says about Cod liver oil here
    http://tinyurl.com/dh9b6k

    A typical 5ml tsp of CLO contains roughly 400iu. Most people require on average 5000iu/daily so the amount from CLO is insufficient.

    Jeanne
    Twice yearly $30, 25(OH)D blood spot tests, available by post from this source
    www.grassrootshealth.org/daction/index.php

  • Rick

    2/17/2009 10:49:00 AM |

    iHerb.com also has Country Life Vitamin D3 2500 IU (200 softgels).

    Thanks for answering the questions about tablets so quickly, by the way.

  • Tom

    2/17/2009 11:38:00 AM |

    For the benefit of UK readers, I'd like to second TedHutchinson's informative comment. I use the same product from the same supplier Smile

    It's worth noting that postage and packing cost from the US does not contribute to the value of the order for the purposes of taxes and extortionate 'fees'.

  • Matthew

    2/17/2009 1:08:00 PM |

    I don't understand why taking a vitamin D3 capsule will not raise level of 25(OH)D when consuming it with fat or meal containing fat. Should get the same results...

  • Anonymous

    2/17/2009 5:43:00 PM |

    First, let me say that I really love your blog.  I learn so much every time I come here.

    I do have a question for you.  What do you make of this site:

    http://bacteriality.com/2007/09/15/vitamind/

    On the surface, she appears to be a competent scientist, but she blames everything (and I do mean everything from macular degeneration to brain lesions) on too much Vitamin D and claims that the road to universal health should begin with driving one's Vitaman D levels to below 20 ng/mL.  A friend of mine just sent this to me in a panic.  Please let us know what you think.

    Thanks so much!
    Isabella

  • Steve L.

    2/17/2009 7:39:00 PM |

    The Costco effect.  I had been wondering why so many people use the tablet form.  Just noticed yesterday that tablet is the form of Vitamin D that Costco carries.

  • Diana Hsieh

    2/17/2009 8:54:00 PM |

    All of the vitamin D capsules that I checked in Whole Foods yesterday were composed of some kind of frankenfood oil in them, most notably soybean oil.  Can anyone recommend any brands that use something better?  

    (I have the same problem with my vitamin E complex, but I'm not convinced that I should be taking that anyway -- although it does seem to help the inevitable dry skin in winter here in Colorado.)

    BTW, my husband and I got our levels tested thanks to your recommendations.  Mine were excellent (probably thanks to many months of good supplementation), but his need some work (despite some more moderate supplementation).  Thanks for the info!

  • David

    2/18/2009 4:37:00 AM |

    Re: the http://bacteriality.com/2007/09/15/vitamind article...

    Anonymous,

    Dr. Davis wrote about this issue (more or less) last year: http://heartscanblog.blogspot.com/2008/03/marshall-protocol-and-other-fairy-tales.html

    David

  • Michael

    2/18/2009 5:55:00 AM |

    @ Diana Hsieh
    Don't know if this is available where you are (I'm in Australia) but I use this brand of D3 for this very reason. It's in fish oil, of reasonable potency.

    THOMPSON'S Vitamin D (1000mg) with Fish Oil (500mg) - 60 gelatin-free caps

    http://www.thompsons.co.nz/afa.asp?idWebPage=8403&ID=163&SID=663632930&Type=Products

    Product made in New Zealand. Hope this helps.

  • Anna

    2/18/2009 6:40:00 AM |

    Diana,

    Our family likes Carlson Vit D products.  They are definitely absorbable, because the whole family went from the low end fo the reference range to around 70-86 ng/ml in the past few months).

    Mostly we use Solar D Gems in the 2000 or 4000iU capsules.  There is a bit of Norwegian CLO & EPA?DHA in them, and lemon flavor.  They chew up easily, too, but can also be swallowed.

    The non-chewable capsules are much tinier and are made with sunflower oil, but even that is a very tiny amount in this very small capsule.

    The Carlson D drops in the 2000iU/drop dose is made with coconut oil (though it is fractionated, to keep it liquid).  But it's only a drop.

    I find very good prices at www.vitaminshoppe,com, usually for about 2-4 ¢ per each 1000iU (that's how I make price comparisons).  Plus Vitamin Shoppe has a frequent buyer program so purchases earn points toward fairly generous coupons (such as $5 off a $15+ purchase), and shipping is reasonable (sometimes free).  

    Or I buy Carlson Vit D3 at the local store when they are on sale (stores that sell a lot of Carlson product often pass along "mfg discounts" or "special buys").

  • TedHutchinson

    2/18/2009 11:09:00 AM |

    Isabella
    Mark London  MRL@PSFC.MIT.EDU has provided a detailed scientific rebuttal of the Marshall Protocol here
    http://tinyurl.com/cfod57
    Is the MP Treatment for Sarcoidosis Helpful for Other Chronic Diseases?

    MP’s Vitamin D Theories Are Not Supported by Lab Studies.
    Updated July 2, 2008

    Dr Davis has previously addressed this issue in the blog entitled
    The Marshall Protocol and other fairy tales

    Diana Hsieh
    The capsules I suggested are dissolved in olive oil.
    http://tinyurl.com/abbagz
    Carlson 2000iu sunflower oil $12.22
    http://tinyurl.com/abbagz
    Carlson also do Solar Gems in Cod liver oil.
    http://tinyurl.com/bclzom

  • Anonymous

    2/18/2009 1:35:00 PM |

    Diana Hsieh,

    I believe the NOW foods brand D3 formulations are suspended in olive oil.

    Carlson's Vitamin D3, 2,000 IU is suspended in sunflower oil.

    That being said, most of these D3 capsules are quite tiny, so I am not sure that they contain a huge amount of oil, unless you are taking more than 10,000 IU's daily (i.e., 5 capsules).

    As to sources, iHerb is the best and most user friendly, and I won't even give you my $5. discount code, as previous poster did.  You can sign up for your own discount number at the iHerb website.

    Hope that helps!

  • Sam

    2/18/2009 3:30:00 PM |

    Diana,

    I'm currently using Carlson 2000IU gelcaps which contain sunflower oil (omega-6, even if small quantities) and a few other more benign ingredients.

    When these are exhausted I'm switching to Carlson D-drops in which D3 is dissolved into medium chain triglycerides (MCT).

  • Anonymous

    2/18/2009 4:50:00 PM |

    Thanks everyone for the input.  I feel much better now and am off to take my gel-capped Vitamin D3.

    All my best,
    Isabella

  • TedHutchinson

    2/18/2009 9:21:00 PM |

    When researching Carlson Solar Gems earlier I mentioned they contain Cod liver oil but no Vitamin A Content is listed on the Carlson's website.
    So I emailed Carlson's to confirm the vitamin a content. They replied
    total Vitamin A is below 2% of the daily value which is the threshold above which the FDA requires you to list the Vitamin A content.
    As adult RDA for vitamin A is 700~900iu, below 2% of that is below 14~18iu. So there is really is no reason to avoid Solar Gems because of their potential Vitamin A content.

  • Anonymous

    2/19/2009 12:52:00 AM |

    Dr. Davis,

    Appreciate your elaborating the tablets vs. capsules point and thank you for continuing to take the time to write such informative posts!

  • Anonymous

    2/19/2009 7:46:00 PM |

    "Heart disease was once thought to be less of a problem for women than for men. Research now indicates that heart disease is the No. 1 cause of death among women in the US, while confirming that women with an intact uterus have a lower incidence of heart disease because they benefit from the uterine advantage." Visit http://www.truthout.org/021609R for the full article.

  • Anonymous

    2/20/2009 12:01:00 PM |

    Dr. Davis,
    Are gelcaps with dried powdered form of vitamin d3 as effective as oil filled gelcaps?

  • Ricardo

    3/26/2009 12:58:00 AM |

    Dr. Davis, "Americans Low on Vitamin D" - http://www.webmd.com/news/20090325/americans-low-on-vitamin-d

  • Anonymous

    4/22/2009 6:37:00 PM |

    I've had great results from powdered gelcap from D-Max (5000 IU) from Nature's health Supply, but a bit less from NOW olive oil gelcaps (5000 IU). Just a hunch, because I have an autoimmune disease and I'm trying to work out my symptoms. So no 25(OH)D test here.

    I'll try those Carlson's next.

    Great blog by the way!

  • Anna

    4/22/2009 8:49:00 PM |

    I just ordered some D3 to send to my 81 yo MIL and 46 yo SIL in London.  I'm quite sure they are going to very deficient (they just ordered the www.grassrootshealth.net home testing kit as it's a pain to get NHS to agree to test).  

    I found Bio-Tech D3-5 (5000iU cholecalciferol capsules  - powder in a tiny gelatin capsule) offered on Drs. Eades's Protein Power website at a great price, 100 qty for $8.  Shipping via UPS was $6.45 to my location for up to 10 bottles.  That makes the price per 1000iu incredibly low.  I bought a year's supply (8 bottles) to mail to my in-laws, plus two bottles for me.  Note I was very surprised at the small size of the box, but it did contain the 10 bottles I ordered, but the capsules and bottles are small and light, which is nice when ordering so much at once and mailing it again.  Fast delivery, even with UPS ground service.

    I just had another 25 (OH)D test drawn last week; I'll get the results tomorrow at my endo appt for my thyroid.  I was averaging 5000iU/day  supplementation with various Carlson D3 products, based on previous 25 (OH)D test results and supplementation levels.  So I'll switch to the Eades' Bio-Tech formula now and see how my 25 (OH)D is in late summer/early fall.

  • David

    4/22/2009 9:40:00 PM |

    Anna,

    I'd be very interested to hear a follow up from you when you retest after being on the Bio-Tech D3 for awhile. I'm of the mind that D3 in softgel form is more absorbable and hence more efficacious for raising and maintaining 25(OH)D levels, but I see many of the "big guns" (e.g. Cannell, Eades, etc.)promoting/selling the powdered Bio-Tech formula. Perhaps you could report back here with your results?

    David

  • Anna

    4/23/2009 6:27:00 PM |

    Dave,
    Sure.  I'll be retesting  thru my endo in 6 mo.  But I might do a mail-in test via www.grassrootshealth.net before that.  

    I'm guessing a gelatin capsule filled with a powder (might be an oily powder,too) is more absorbable than a hard tablet form.

    Btw, I just got my lab result for 25(oh)d---a nice 68ng/mL (after months of 5000iU D3 carlson oil gelcaps and/or oil drops .  Also was an easier winter than i've had in years, which I think might be due to more sunlight and Vit D.

  • David

    4/23/2009 7:59:00 PM |

    Thanks, Anna. 68 ng/ml-- Good for you! You know, all my life, I've had tough winters. I would always get very sluggish and depressed. I mean I would get really, really down. But ever since I've started the vitamin D, the winter blues are a thing of the past. This alone is probably the most noticeable effect I've ever had from taking any supplement. It's a very dramatic and welcomed change.

  • Herry

    5/27/2009 9:41:31 AM |

    I will read from time to time for that.

    http://allnutri.com/bid970/now+foods.aspx

  • Anonymous

    8/26/2009 6:34:03 PM |

    That means D3 in Calcium tablets like Citrical is probably poorly absorbed  too, am I correct?

  • David

    8/27/2009 10:27:06 PM |

    Yep.

  • Anonymous

    11/11/2009 8:42:39 PM |

    I found this site using [url=http://google.com]google.com[/url] And i want to thank you for your work. You have done really very good site. Great work, great site! Thank you!

    Sorry for offtopic

  • Anonymous

    12/13/2009 2:00:04 AM |

    yoo... amazing thread!

  • Anonymous

    5/4/2010 2:15:47 AM |

    GNC has Vit D drops.....do you feel this is good?

  • buy jeans

    11/3/2010 12:30:44 PM |

    Oil-filled gelcaps are no more expensive than tablets (or perhaps a dollar more). Health food store employees and pharmacists don't know this. I have had many patients come to the office claiming they changed to tablets because that's all their health food store or pharmacy carried and the person behind the counter assured them it was the same. Blood level of vitamin D to confirm: right back down to the starting level or near it--little or no absorption.

Loading
Blast triglycerides

Blast triglycerides

The conventional answers to high triglycerides levels are generally: low-fat diet, a fibrate drug (Tricor, Lopid), a statin drug, and--most recently--prescription fish oil.

This is the regimen to take if you want the drug industry to get even richer and more powerful than they already are. After all, what CEO of a pharmaceutical company can stand to have his salary and benefits slashed to below $200 million this year? It's outrageous!

If you really want to blast the heck out of your triglycerides and achieve numbers like 50 mg/dl, then the regimen to consider consists of:

--Elimination of sugars, wheat, and cornstarch
--Fish oil--Sam's Club would do fine at $8 for 350 capsules, or the high-potency at $14.99 for 180 capsules (at 680 mg EPA +DHA, nearly the same potency as prescription Lovaza at 842 mg)
--Vitamin D supplementation sufficient to achieve normal blood levels (60-70 ng/ml)

Those three strategies alone can reduce triglycerides far more than any drug combination. In fact, it is rare for someone with triglycerides as high as 900 mg/dl to not reduce them to the <100 mg/dl range.
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Oatmeal: Good or bad?

Oatmeal: Good or bad?


You've heard it before: oatmeal reduces cholesterol. Oatmeal producers have obtained permission from the FDA to use a cholesterol-reducing claim. The American Heart Association provides a (paid) endorsement of Quaker Oats.

I've lost count of the times I've asked someone whether they ate a healthy breakfast and the answer was "Sure. I had oatmeal."

Is this true? Is oatmeal heart healthy because it reduces LDL cholesterol?

I don't think so. Try this: Have a serving of slow-cooked (e.g., steel-cut, Irish, etc.) oatmeal. Most people will consume oatmeal with skim or 1% milk and some dried or fresh fruit. Wait an hour, then check your blood sugar.

If you are not diabetic and have a fasting blood sugar in the "normal" range (<100 mg/dl), you will typically have a 1-hour blood glucose of 150-180 mg/dl--very high. If you have mildly increased fasting blood sugars between 100 and 126 mg/dl, postprandial (after-eating) blood sugars will easily exceed 180 mg/dl. If you have diabetes, hold onto your hat because, even if you take medications, blood sugar one hour after oatmeal will usually be between 200 and 300 mg/dl.

This is because oatmeal is converted rapidly to sugar, and a lot of it. Even if you were to repeat the experiment with no dried or fresh fruit, you will still witness high blood sugars in these ranges. Do like some people and pile on the raisins, dried cranberries, or brown sugar, and you will see blood sugars go even higher.

Blood sugars this high, experienced repetitively, will damage the delicate insulin-producing beta cells of your pancreas (glucose toxicity). It also glycates proteins of the eyes and vascular walls. The blood glucose effects of oatmeal really don't differ much from a large Snickers bar or bowl of jelly beans.

If you are like most people, you too will show high blood sugars after oatmeal. It's easy to find out . . . check your postprandial blood sugar.

In past, I recommended oat products, specifically oat bran, to reduce LDL, especially small LDL. I've changed my mind: I now no longer recommend any oat product due to its blood sugar-increasing effects.

Better choices: eggs, ground flaxseed as a hot cereal, cheese (the one dairy product that does not excessively trigger insulin), raw nuts, salads, leftovers from last evening's dinner.

Comments (67) -

  • Church Dude

    3/11/2010 6:12:31 PM |

    this is somewhat surprising, however, not completely shocking. Carbs are sugars, and I've known for quite some time that Oats are loaded with carbs. I never thought of the effects of the oatmeal though, I've always seen it as a positive and healthy way to start off the day...

    I guess that view has changed now.. I'll be consuming a lot less oatmeal.

  • Anonymous

    3/11/2010 6:28:20 PM |

    Uh-oh.

    Does this also include whole unprocessed (cooked) oats?

    Those, along with wild rice are the only grains our cardiologist said are okay, and only so long as they remain whole, unprocessed grains.

    Darn.

    madcook

  • sonny

    3/11/2010 6:31:42 PM |

    Oatmeal- what a pickle it's gotten itself into.
    Healthy, healthy oatmeal is all you read about until one checks their blood sugar after eating it. Mine went from 82-179 in 45 minutes.
    No honey or raisins or anything added- the same spike.
    For me, eating oatmeal is like having an IV drip of straight sugar into my blood stream.

    Oatmeal has now been relegated to  food for my mealworms who in turn are snacks for my bearded dragon.

    Darn, I like oatmeal!!

  • Marnee

    3/11/2010 6:41:19 PM |

    Are you saying that butter triggers more insulin than cheese?  Can't be.

  • MissPkm

    3/11/2010 6:54:34 PM |

    Thanks! This one has been very hard to discuss since EVERYONE thinks oatmeal is VERY healthy! Great post

  • karl

    3/11/2010 9:21:30 PM |

    ??? I eat 1/3 cup (add water) of Oatbran for breakfast everyday with berries - 1 and 2 hour blood sugars are about 100. ( or a serum level of 89)  That is a carb load of 16 for the oat-bran - add the berries and it is 20. Not a lot for the big meal of the day for a large guy.

    I'm not sure everyone has the same problem - it is a matter of amount, not 'just' the type of food.  I am much more careful to eliminate fructose containing sugars.

  • Bob Fenton

    3/11/2010 10:13:51 PM |

    Thank you!  Appreciate the information.  Now I must email my CDE and ask if she is going to insist that her charges continue to eat it.

    Bob

  • Payam

    3/11/2010 10:25:28 PM |

    You lump all "oatmeal" into a single category.  Is there a difference between instant oats vs. rolled oats vs. steel cut oats?

    I sometimes cook steel cut oats overnight, and then add some whole raw milk at the end.  I eat it with walnuts and cinnamon.  I would assume that the fats and cinnamon decrease the blood sugar spike?  Is this the case?  I would appreciate your comments

  • Stephen

    3/11/2010 10:28:31 PM |

    Do butter or cream generally trigger an insulin response?

  • StephenB

    3/11/2010 10:35:21 PM |

    In addition to cheese, shouldn't heavy cream not raise blood glucose?

  • ShottleBop

    3/11/2010 11:08:36 PM |

    Re:  cheese being the one dairy product that doesn't excessively trigger insulin. Doesn't heavy (whipping) cream qualify as another?  It doesn't raise my blood sugar--even when consumed at breakfast, the time of day when I'm most carb-sensitive.

  • Anonymous

    3/11/2010 11:15:04 PM |

    Dr. Davis,

    I am not a cereal eater of any sort, and never eat oatmeal or oat bran.

    A typical breakfast for me might consist of 2 whole pastured eggs + vegetables and some coconut milk with around a 1/2 teaspoon of cinnamon mixed into it. Would 1 serving of oatmeal added to something like that be as likely to trigger higher readings (relative to each of the states you mentioned)?

    NOTE: I'd try it out and test with a glucometer, but I dislike the taste of oatmeal and oat bran, so it makes that avenue a moot point.


    Roy Davis

  • Rose

    3/12/2010 12:19:09 AM |

    Cholesterol intake from egg yolk is atherogenic in fowls (1), rabbits (2), swines (an omnivore like man) (3) and monkeys (3) as you can read in the following articles:

    (1) "The pathology of experimental atherosclerosis in egg-fed fowls".

    (2) "EXPERIMENTAL ATHEROSCLEROSIS AND BLOOD PRESSURE IN THE RABBIT"

    (3) "Comparison of the Effect of Egg Yolk or Butter on the Development of Atherosclerosis in Swine".

  • Lori Miller

    3/12/2010 1:18:43 AM |

    I found that oat bran gives me acid reflux. Now I use it to exfoliate.

  • randyntona

    3/12/2010 1:24:01 AM |

    Thanks for this information, I am glad to see you are not recommending oat bran anymore.  Recently I tried 2 tablespoons of oat bran a day for 4 days for ldl cholesterol reduction.  As a result I gained 4 pounds and experienced a resurgence in my joint pain (and cravings) which had been previously greatly reduced by going grain free.  It took about 4 weeks to loose that 4 pounds.  No more 'healthy' oats for me!  Randy.

  • Anonymous

    3/12/2010 1:49:28 AM |

    Dr. Davis,

    Do buckwheat and quinoa have the same blood sugar-raising effect?

    Thank you,

    David

  • Dr. William Davis

    3/12/2010 2:54:47 AM |

    If you are concerned about carbohydrate sensitivity, you must--MUST!--check blood sugars after a meal.

    Then you will know for a fact what your response is.

    The worst: instant oatmeal.

  • Michael Barker

    3/12/2010 4:08:32 AM |

    Eat oatmeal? I can't even look at a box of oatmeal without my blood sugar going ballistic!

    Mike

  • Gene K

    3/12/2010 4:49:40 AM |

    I have been eating quick oats for breakfast every day for fifteen years, lately adding cinnamon, flaxseed meal, and blueberries. Is it enough time to make me a diabetic? I typically walk for 25 min one hour after breakfast to catch the train, so it is difficult for me to check my blood sugar during this time. Is oat meal consumption harmful even in this combination with physical activity?

  • Sweet Sensations

    3/12/2010 5:51:02 AM |

    What about cream of wheat? is it any better for you than the oatmeal?

  • Pascal

    3/12/2010 6:46:40 AM |

    I think your comment that oatmeal will raise sugars in non-diabetic people to over 150 is a little exaggerated. I had a fasting sugar of around 100 and 1 hour after one serving eating Old Fashioned Quaker Oats my blood glucose got to 126. While this is not an ideal glucose level it is nowhere near the 150 you are referring to. I had some other members (non-diabetic) of my family try the same experiment and none of them came close to 150.

    I switched to a non-wheat diet, moderate carb diet at the beginning of the year. For breakfast I stopped eating sugar-packed cereals and ate Old Fashioned Quaker Oats instead. My triglycerides dropped like a rock from almost 200 to around 60. My HDL went from 35 to about 60.

    I do agree however that people who are insulin resistant may need to avoid oatmeal as it does contain a plenty of carbs but comparing oatmeal to candy bars in the context of blood glucose response is really stretching things.

  • Peter

    3/12/2010 12:18:29 PM |

    Tons of carbs = raised blood sugar. I meet a lot of people eating oatmeal believing it is healthy. I am from Sweden and we have a long, long tradition of oatmeal.

    The grain industry has been sponsoring Swedish athletes for a very long time.

    Apparently, kids who get into sports get a brochure, from sponsored by one of the biggest grain producers in Sweden, loaded with propaganda about how athletes MUST eat a lot of carbohydrates.

    Fortunately there are more and more athletes breaking away from traditional diets. One of the main reasons being, that top athletes get sick a lot. Björn Ferry, who won a gold in Vancouver, is on a low carb diet. No oatmeal whatsoever for him.

  • Peter

    3/12/2010 12:43:49 PM |

    I've been testing my blood sugar after meals and what I find is a little steel cut oats, a little wild rice, a little beer doesn't raise my blood.  A lot of any of these, on the other hand, does. It seems more related to quantity than to which carb.

  • Jen

    3/12/2010 2:11:12 PM |

    I have heard, "...eat fats with your carbs..." to keep one's insulin livels from spiking so much.  I choose butter or cream from grass fed cows.
    Have not checked insulin levels after fat or no-fat old fashioned oatmeal to see the differences.
    It's worth testing on myself as my fasting glucose levels are in the low range.

  • zach

    3/12/2010 3:16:48 PM |

    Now they even have "organic" oat meal to make it super healthy! The madness never ends.

    My 4.5% butterfat whole, unprocessed jersey milk does not cause my blood sugar to spike, neither does butter, yogurt, cream or cheese made from it. But I am non-diabetic. Measuring blood sugar after drinking pasteurized store bought milk (~3.2% butterfat) does raise it about 10 more units (110) instead of 100. WAPF says the heating makes lactose digest quicker.

  • Haggus

    3/12/2010 3:20:06 PM |

    I didn't hear anything that oat bran can't bring down LDL, only that one has to be mindful of the BG issues concerning it.

    I'm mindful as I'm IGT, but don't seem to have issues with oat bran and my 1h ppg readings.  They've never been above 6mmol/L, and more than likely be in the mid 5s like anything else I've tested with the expection of food containing starch.

    For the record, I use water and don't load it with fruit.

  • Dr. William Davis

    3/12/2010 7:25:32 PM |

    Peter--

    Excellent point.

    Portion size is indeed a crucial factor: The greater the quantity of carbohydrate, the greater the impact on blood sugar.

    Therefore, many of us can get away with small quantities of oatmeal, cream of wheat, or other carbohydrate (at least from a blood sugar standpoint). Most of us cannot deal with any more than a little. Some cannot deal with any at all.

  • Myron

    3/12/2010 7:26:57 PM |

    Just recommended your Blog to my brothers.  Gave them the comparison of "low carb diet verses the whole grain inflammatory diet."    In addition to the Blood Sugar problems, grains tend to be loaded with  inflammatory oils and for some allergic, too!   Chronic inflammation and Chronic disease go hand in hand.  

    What do you think of the Curry diet, Tumeric is a COX-2 inhibitor;  thought to reduce prostate cancer in India to 10% compared to USA.

  • Tony

    3/12/2010 9:33:26 PM |

    My one hour postprandial blood glucose, tested today after eating 1/2 cup (dry) oatmeal with 2 TBS flax seed meal, 1 TBS raisins, and 1/2 tsp maple syrup: 114 mg/dl,

  • Lori Miller

    3/13/2010 3:02:01 AM |

    My diabetic mother's FBG was finally down to 126 yesterday. Then she had some peas and carrots last night, then some oatmeal and raisins this morning. Her blood sugar a few hours after eating it: over 200. Her reason for eating the oatmeal: "My nurse told me I could have a little."

  • Anonymous

    3/13/2010 4:36:28 PM |

    I found that a bowl of oatmeal, with cream and two boiled eggs was enough to shoot my blood sugar from fasting 110 to 160+.  Now, I clearly have issues since my fasting is a bit high, but my conclusion for myself was, fat and protein didn't stop the carbs.  I do fine with a small bowl of full fat strained yogurt and walnuts though.  And eggs, veggies, or a small steak...

  • Paul

    3/15/2010 3:50:31 PM |

    I've been wondering...is bacon REALLY bad for you (like most people say), or is it okay? I've been eating a relatively low-carb breakfast of poached eggs and bacon, and a small serving of fruit, but I'm concerned that the bacon is a bad choice (although I love it, and it leaves me satiated until lunch). Any insight?

  • Anonymous

    3/16/2010 5:55:15 PM |

    The effects of carbohydrates on blood sugar levels is represented by the glycemic index. The glycemic index is determined by feeding various people a certain food and measuring their blood sugar level multiple times over a period of several hours.

    Oatmeal has a fairly low glycemic index (around 50 I think), which means its effect on the blood sugar level of a regular person is low.

    The glycemic load of the whole meal containing oats can be even lowered by mixing it with some other very low GI food such as nuts.
    A half a cup of oatmeal with 1 oz of walnuts cannot be much worse than fried eggs and bacon everyday, can it?

    Boris

  • mongander

    3/29/2010 4:04:22 PM |

    Okay, y'all have prodded me to check my blood sugar.  Despite being a diagnosed type 2 diabetic for over 20 years, I've relied on the A1C test and avoiding processed foods.

    Today, fasting level = 90

    After a huge bowl of old fashion slow cook oatmeal (1 cup dry uncooked), plus raisins and MCT oil, I tested 126 immediately after eating.

    20 minutes postprandial = 120 (after 15 minute walk)

    1 hr postprandial = 136

    2 hr postprandial = 71 (after another 15 min walk)

    Normally I eat oats/groats but I'm visiting my mom now, and don't have access to groats.  In my opinion, oats/groats is metabolized more slowly and is more nutritious.

    I have a lot of Scottish blood and the Scots have thrived on oats for millenia.

  • Sandip

    5/6/2010 11:37:49 PM |

    This is so ABSOLUTELY true and helpful!!!  I have been eating a big bowl of quick oats (with only water) for about a year and regularly measuring blood sugar one hour later.  The results were always confusingly amazing.  My blood sugar wold reach from 90's (fasting) to 180 easily!  I have asked two internists but no help.  This article is exactly what I have been searching for.  Great analysis!  NO MORE OATS for me.

  • Anonymous

    5/12/2010 12:39:09 PM |

    The unasked question is, what constitutes 'repetitive' consumption of oatmeal? Breakfast every day? Twice a week? Or what?

  • Raine Saunders

    6/29/2010 2:42:55 PM |

    If you were to soak the oats in an acidic medium overnight (such as kefir, yogurt, apple cider vinegar, whey, or lemon juice), and then eat it with real, raw milk and a bit of real maple syrup, it would be much healthier for you. But I wouldn't recommend eating it every day because this habit of eating grains too often, even when properly prepared can still lead to health issues. Grains that are not traditionally prepared as our ancestors did lead to many problems like obesity, heart disease, cavities,digestive disorders, candida overgrowth, Crohn's Disease, Leaky Gut, hiatal hernia, diabetes, and much more.

  • Roxanne Sukol MD

    7/22/2010 7:03:21 PM |

    Great idea to check your blood sugar after you eat.  Then either way, good or bad, you'll know.  And you'll be able to make your decision based on the facts.  Check out my take on "What's for Breakfast" at http://yourhealthisonyourplate.com  Roxanne Sukol MD

  • Joyce and Bob Schneider

    7/30/2010 7:35:30 PM |

    What a fantastic post! It's about time someone started cracking down on so-called "good carbs." My husband is a cardiologist too, has been preaching this for years and getting the very same "Huh?" reactions. The credo is our house is: CARBS & SUGAR ARE THE SAME THING, because all carbs metabolize into sugar. "Good" ones may take 30 minutes longer, but they'll still become sugar faster than your body wants it. Try to stick to just low-sugar fruits and veggies...and thank you, doctor, for helping to clear the blizzard of misinformation out there. Here's our non-profit site if you're wondering who wrote this: http://tinyurl.com/b8vjja

    P.S. Many diabetes "educators" are dreadfully behind, giving out in some cases what amounts to harmful information, especially where diabetics are concerned.

  • Jenny

    8/4/2010 4:09:10 AM |

    Yikes!  This has certainly been very surprising.  Oatmeal has always been thought of as a healthy breakfast.  Little did we know!  

    Thank you so much for sharing this.  I will forward this post to my fellow oatmeal-loving friends.

  • Anonymous

    8/16/2010 9:20:06 AM |

    This blog usually delivers scientifically sound nutritional information. This particular blog publication is the exception. It gives information without a single reference. It is daunting to write that oats will make a spike in your blood levels without any further information. Oat porridge is known to lower the glycemic response to a load of carbohydrates. You are missing important information about the fiber content. It IS a good source of fiber, both soluble (beta-glucans) and insoluble when eat as a whole. Additionally, is proven to lower serum LDL levels and increase HDL. Of course if you use a oat product full of sugars or in the wrong presentation/processing the history is quite different.
    Much more can be found if you type Oats and glycemic index at Pubmed.
    http://www.ncbi.nlm.nih.gov/sites/entrez

  • Wilcox Angus Beef

    8/28/2010 6:03:33 AM |

    I remember when I thought eating oatmeal was good for me.  I even made granola and ate that frequently.  The only thing that happened to me was that I gained a lot of weight!  

    I have not had grains in about a year, unless I am on vacation and have no other options.  I ate steel cut oats this summer on vacation.  Yes, they were satisfying at the time but I also came home with weight gain and a viral lung infection. Not saying that was because of my grain intake, just sayin....

  • Peter

    9/4/2010 12:33:45 PM |

    I sed to eat lots of oatmeal and oat bran, and my doctor said I was anemic.  Then I read that oat bran prevents iron absorbtion, so I quit, and the anemia went away.  Maybe coincidence, maybe not...

  • Anonymous

    9/8/2010 3:59:39 PM |

    I'm extremely grateful for this information. For years I have conscientiously followed the type of diet that is widely promoted as being healthy, including whole grain oatmeal. My cholesterol numbers have been stellar, aside from the total sometimes being below the reference range. My fasting glucose has been normal. I was shocked to learn in follow-up after a severe foot infection that my peripheral arteriosclerotic situation is not so stellar. In view of the information on your blog I bought a glucose monitor. My blood sugar an hour after a large bowl of slow-cooked oatmeal with no fruit, milk, sugar, or other additions = 150!

  • grgsr

    9/27/2010 10:54:56 AM |

    Oat Bran, I have read that Oat Bran is good for you as it is high in fiber and helps to clear fats from the blood.  I am not sure about the refinement as to whether fine ground or medium ground is best?  I have read other medical materials that support using Oat Bran for cereal, muffins, or even as bread crumbs for baking.  This can be confusing as I had once believed Oat Meal was good for you and a heart healthy diet.  Does OAT BRAN fall into the same catagory as OAT MEAL?

  • Anonymous

    10/12/2010 3:39:26 PM |

    Perhaps it is the skim milk that is the culprit here?With cream or whole milk and some coconut oil perhaps it's not so bad?

    Skim milk is evil.

  • Simon

    10/27/2010 10:33:37 AM |

    hi……………………
    You are a Great while writing in the blogs it is awesome I liked it too much good and informative thanks for the sharing.

  • blogblog

    10/31/2010 8:55:33 AM |

    The 'healthy breakfast myth'. Humans don't need any breakfast or lunch if they eat a proper diet. The body has ample fat stores to provide our energy for the day. Most hunter-gathers don't eat any breakfast and lunch is rarely anything other than a small snack. They start eating mid-afternoon and nibble away for most of the evening.

    The only reason westerners need breakfast or lunch is because they are carbohydrate addicts. If you switch to a VLC (<20g/day) diet you won't get hungry before 4pm once you adapt. In fact once adapted to a VLC diet you can effortlessly go 2-3 days without food and not have any problems.

  • buy jeans

    11/3/2010 2:20:21 PM |

    If you are like most people, you too will show high blood sugars after oatmeal. It's easy to find out . . . check your postprandial blood sugar.

  • Jack C

    11/18/2010 3:25:42 PM |

    We eat oatmeal on occasion and have no problem with high blood glucose probably because we add enough butter, cheese and cream so that the calories from dairy fat far exceeds the calories from the oatmeal. And we have no insulin problem from consuming a lot of butter.

    We are not concerned about cholesterol levels. The only reason we eat oatmeal is because it seems to help regularity.

    Jack C.

  • rhinoplasty los angeles

    11/26/2010 6:18:39 AM |

    I have oats without dried fruits or any fruit even.But I do add a little of skimmed milk and also add a little bit of sugar.I have no problem as far as sugar or heart is concerned.

  • diseño web

    12/15/2010 5:26:17 PM |

    wow im glad im reading this post thanks for the info

  • Anonymous

    12/17/2010 8:27:21 PM |

    Dr. Davis:

    What are your thoughts on brown rice? Is this beter than oats or wheat? I know white rice has high glycemic index.

    Raj

  • Sara

    12/21/2010 9:22:34 PM |

    Personally, oats cause a spike up 170. My fasting is 90. Cheerios spikes as well.

  • Anonymous

    12/23/2010 1:49:42 PM |

    How does the article justify going from heart healthy benefits to affects of oatmeal for diabetics?
    Just because a food has to be eaten with caution by diabetics does not mean it is not beneficial as it has been determined.
    It is the same as with any food: Read The Label. Yes, oatmeal is a grain, and therefore has carbohydrates (an essential food). So, add protein if you have blood sugar issues or eat it less often, or in smaller quantities!
    Any whole grain will have the same issues. And why would a diabetic add sugars or fruits to a carb food??? Come on!
    For heart benefits, lowering harmful cholesterol, it is one of the whole grains that is important to have in your diet. Profiling it as a diabetic issue is just not fair.

  • revelo

    1/16/2011 2:18:25 AM |

    Just got my glucose monitor and was testing it out:

    morning fasting: 75
    immediately after salmon and salad: 78
    1 hr after salmon and salad: 92
    2 hr after salmon and salad: 81
    5 hr after salmon and salad: 88
    immediately after 2 cups dry oats mixed with cinnamon, preceded by a medium sized canteloupe (almost 200 grams of carbs): 102
    50 minutes after the carb feast: 144 !!!
    75 minutes after the carb feast: 111

    I'll do another experiment tomorrow without the canteloupe (which was on sale and I couldn't resist) and maybe only 1.5 cups of dry oats instead of 2 cups.

  • Health

    1/21/2011 12:20:27 PM |

    ive been enjoying those instant packets of oatmeal every morning, like the apple and cinnamon, banana bread, and fruit and cream flavors, but I'm not sure if they're that great for you.. even if they are only 130 calories. what are your thoughts? is healthy?

  • ccf344

    1/30/2011 6:37:51 AM |

    Hi Doctor Davis,
    Can't disagree that oatmeal does indeed contain a fair amount of (complex) carbs. However, according to a study published in the American Journal of Clinical Nutrition (link below), when it comes to insulin demand generated by different common foods, oatmeal ranks surprisingly low while some foods not normally associated with a high insulin response don't fare as well as we would think. http://www.ajcn.org/content/66/5/1264.full.pdf+html

  • Anonymous

    1/31/2011 12:46:21 PM |

    Dear Dr Wiliam Davis,
    Could you comment this :
    "Low-Carb Diets Linked to Atherosclerosis and Impaired Heart Vessel GrowthStudy suggests that popular diet regimen may have adverse effect on body's restorative capacy

    Date: 8/24/2009
    Now, a study led by a scientific team at Beth Israel Deaconess Medical Center (BIDMC) provides some of the first data on this subject, demonstrating that mice placed on a 12-week low carbohydrate/high-protein diet showed a significant increase in atherosclerosis, a buildup of plaque in the heart’s arteries and a leading cause of heart attack and stroke. The findings also showed that the diet led to an impaired ability to form new blood vessels in tissues deprived of blood flow, as might occur during a heart attack."
    http://www.bidmc.org/News/InResearch/2009/August/LowCarbDiets.aspx

  • Anonymous

    2/3/2011 2:01:31 AM |

    I like oats so when I came across this blog I was interested to read about oats being taken off the Dr.s' recommend food list
    due to spiking bloodsugar levels. I'm in this category described in the blog post - "If you are not diabetic and have a fasting blood sugar in the "normal" range (<100 mg/dl), you will typically have a 1-hour blood glucose of 150-180 mg/dl--very high."

    I decided to perform an informal blood sugar profile of my typical oats breakfast meal under the following test conditions:

    Test device: Accu-chek Integra

    Meal:
    50g - Quick Oats Homebrand Woolworths Australia
    125g - 1% low fat milk
    50g Mixed Frozen berries (raspberries/blackberries/blueberries/cranberries)
    Total Kcal from meal = 271

    No other food or drink during 2 hour testing period.

    Testing period: Initial measurements at morning fasting but after gym workout (T0) then every subsequent 30 minutes for 2 hours

    Results:
    T0: 91.8 mg/dL
    T0+30: 136.8 mg/dL
    T0+60: 120.6 mg/dL
    T0+90: 108.0 mg/dL
    T0+180: 104.4 mg/dL

    The peak 136.8 mg/dL at the 30 minute mark is within the  acceptable range post meal and well below the 150-180 range suggested in the blog.

    I will try slow oats next time - Kcal content is the same but the oat flakes are larger which suggest slower glucose release.

    Everyone responds to food differnetly so YMMV.

  • Anonymous

    3/6/2011 1:54:34 AM |

    My husband was recently diagnosed with diabetes. Oatmeal is listed as a low glycemic index food, so we thought it would be fine for him to enjoy this once in a while. Unfortunately, his last bowl of rolled oats with no sugar and only a dash of milk caused him to have blood sugar in the mid 200's for FOUR HOURS afterward.

    We are discovering that we have to forget what the industry says and base our food choices on a case by case basis. Some foods cause him to spike, and other foods that you would think would be terrible (like potato chips) don't cause a glucose spike at all. It's certainly a learning curve.

  • Anonymous

    3/15/2011 4:15:20 PM |

    Hi i have been finding the same thing with oat meal. Im on my second day of testing. after eating 3/4 cup old fasion quaker oats, 1/4 cup raisins, 2 tbs pecans 1 1/2 tbs flax 1/8 tsp cinnamon, 1/2 cup skim milk, and 1 tbs of real maple syrup. 1st days numbers where. 110 just before eating. 189 1hr after start of eating. 100 2hr after, 78 4 hrs after. 2nd day. 102 just before eating, 172 1hr after start of eating, 84 2hr after. My question would be. Is the BS spike after eating enough to kill off the Beta Cells in the Pancreas? Also why do I sustained lower BS lvl for hrs after eating the oat meal? Only meal so far that I get the Lower numbers for hours after.

  • Physical Therapy Supplies

    4/26/2011 5:36:46 AM |

    I'm in this category described in the blog post. Now, a study led by a scientific team at Beth Israel Deaconess Medical Center (BIDMC) provides some of the first data on this subject, And why would a diabetic add sugars or fruits to a carb food??? Come on!

  • Chris Tamme

    6/30/2011 2:57:45 PM |

    I eat no grains and my trigs and HDL are better then your numbers.  The benefits of grains are wiped out by the phytates.  It is a waste of calories.

  • Richard

    1/2/2012 3:48:16 PM |

    More internet BS....  Oatmeal is the last thing you want to eat if your a diabetic. I do clinical test for a doctor and oatmeal is a no, no for diabetics... Eggbeaters, bacon and coffee.  Very little rise in sugar..

  • Janice

    1/9/2012 6:07:27 AM |

    I haven't been diagnosed as diabetic, but I do have a sensitivity.  If I eat a medium or large meal that includes bread, I practically go to into a coma and must sleep for 30 to 45 minutes.  Yet, I've been eating oatmeal for breakfast for the past year and my cholesterol went from "above acceptable" to the low range of "acceptable".    All my cholesterol levels improved dramatically and are in the most perfect range they can be in.  Though I  don't check my blood sugar, I can eat a bowl of oatmeal at any time and I never have that spike that puts me to sleep.  So for me, it's been a God send.  It's one of the few "treats" I can eat without any noticeable adverse affects.

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