SparkFailure

For the last few months, I had really fallen off track with watching my diet and controlling my blood sugars.  After a discussion with my wife, generally being tired of feeling lousy, and feeling the need to set a good example for a friend in which I am trying to help lose weight.  I decided to check out SparkPeople in an effort to better track my macro-nutrient consumption.  SparkPeople has a bunch of tools for tracking calories and specific nutrients, fitness goals, etc., and they allow people to edit their nutritional goals right down to the vitamin and micro-nutrient content.

All this is great, unless, like me you make one grave mistake.  I made the unfortunate and seemingly innocent error of telling SparkPeople that I had Diabetes.  Ticking this one little box during my account sign up made me completely ineligible for any type of nutritional customization at all.  I can edit the total number of calories should I see fit, but the total number of “recommended” fat, carbs, and protein grams per day are set in stone.  For me, the website recommended about 2200-2600 calories a day, and with that I’m supposed to consume 283-326 grams of carbohydrate per day.  Someone please explain to me why this is considered healthy.  I guess they think it’s normal to go through an insulin pen a week.  I tried for almost an hour to figure out how to change my daily goals, or even turn my “diabetic status” off.  I finally found a link to a page buried in a blog to check or change your diabetes program settings, but unfortunately, turning off your diabetes settings, you cannot continue to use the glucose tracker.

It would be nice if they would get with the program, and actually attempt to help people with diabetes live well with diabetes.

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The Burden of Proof

Whenever I talk to people about the inherent flaws present in nutritional science, its excessive over-simplification, and the fact that the commonly taught conventional wisdom is so precariously lacking on supporting science; people just seem to act like I’m some crazy mad scientist, and expect me to furnish evidence to back up my claims.  Nevermind the logical fallacy present in their implicit need to take what their fifth grade health class instructor, and every other USDA trained “health specialist” since has told them.  That’s just how it is, right?  What middle-schooler for example, would learn about cholesterol clogging arteries, and then ask the question, “Excuse me, but would you have a citation on that?”  The Heart Association and the government say so, so that’s just how it is, right?

What would happen though if a twelve year old did decide to ask for evidence of the scientific so-called facts presented to him or her in health class?  Would the teacher be able to produce evidence that high blood serum cholesterol results in arterial blockage, or would the instructor likely dismiss and even give a second thought to the child’s inquiry?  Most likely, “that’s just how it is.”

This is the major problem with the way we think about diet, nutrition, and disease prevention.  Everybody trusts that the big agencies and government bodies that advise on these, operate in the interests of greater good, but to follow this logic is utterly unbashedly naive.  For example: The USDA sets forth guidelines on how americans should eat, yet they are responsible for regulating agriculture, one of the few exports the United States has left.  I’m sure there’s no special interest there.  The American Heart Association is supposedly all about heart health and preventing heart disease, yet so called “heart healthy” foods that bear their heart-check logo, are subject to hefty annual licensing fee.  I wonder who their biggest clients are.

The thing that drives me nuts, though, is that when you start raising questions about the validity of the claims made, and the conventional wisdom being preached from the dietary pulpit, everyone takes a position that the burden of proof is always on me.  As in I’m the one who has to provide rock solid hard scientific evidence that there is something wrong with what they think they know to be the truth, but have themselves never seen evidence to support it.  I’m in a biology class right now, and not a single fact presented in the text is backed with citation.  This makes the entire text questionable to me, especially when the section on nutrition makes little scientific sense to me.  Ok teacher, why don’t you go find me inexplicible evidence that eating fat makes you fatter.  For it to be a scientifically valid statement, meta-analysis of all the available data would show a trend line with all the data points falling very close to that line.  There are studies available that would produce a different trend line, or none at all, which fails to support the theory.  Despite this, we are still told fat makes you fat.  Then people try to rationalize it with explanations that ignore the general lack of supporting evidence in the first place.  “Protein and carbohydrate contain 4 calories per gram; fat contains 9 calories per gram (therefore, is more fattening.)”  Interesting rationale, except that it also subscribes to theories that lack the science to fully justify their claims.

Unfortunately, people don’t question these things, and even when they go to their doctor, they just do what they’re told to do, never investigating the science on their own; and then you get jackholes on TV like Mehmet Oz who appears even more to be an authority because he’s a “Doctor” and he’s on tv!  I bet nobody questions his advice.  He could prescribe arsenic, and say it was for asthma, and you would probably end up with a dead asthma paitent instead of a person that asks, “how does this poison help with my asthma, and can you show me studies where it shows evidence to support your claim?”

I cannot stress this enough. YOU MUST BE YOUR OWN HEALTH ADVOCATE, and research for yourself what the evidence shows about what’s good for your health.  Relying on others to tell you what’s good for you and what isn’t is not smart, (see: logical fallacy.)  The government has been telling us how to eat since the 70s, and look where it got us, but at least someone is taking a critical look at those recommendations, and calling them on their B.S.

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Gastric Bypass Marketed as Cure for Diabetes (Yeah, Right!)

I wasn’t going post about this, because Tom’s article and Jenny’s article kinda beat me to the punch, but I was hunting around on Linked In today, looking for groups about Diabetes, and found a group titled “Gastric Bypass Surgery.”  What made me angry was the following sentence in the description:  “This bariatric procedure is the ‘gold standard’ to beat obesity and diabetes.”

Seriously?!  The ‘gold standard’ indeed.  For my readers who aren’t aware, the entire basis for gastric bypass is based on flawed logic to begin with.  The commonly shared mis-information is that diets high in fat make you gain weight, so the original concept of gastric bypass was to (a.) make your capacity for food storage much smaller, so that you would get full on a thimble full of food and not want food as much; and (b.) bypass the duodenum making your body practically incapable of absorbing dietary fat, (or some other important vitamins and minerals at that.)  Ideologically, people lose weight because they can’t eat as much in one setting.

A side effect, that they are trying to tout now as a medical miracle is that this surgery eliminates dependence on Type 2 Diabetes medications.  60 minutes even did a story about how the operation cured Diabetes and reduces cancer risk. The thing that the retard doctors don’t seem to get, (probably as a side effect of decades of bad dietary doctrine,) is that the weight loss and the improved blood sugars is a result from the mandatory post-operation diet.  After undergoing this procedure, your tiny “food sack” doesn’t have any tolerance for a bunch of sugary beverages or starchy foods.  You could try to eat carbs, but you would probably just throw it back up.  Also, of course it reduces cancer risk.  Excessive glucose in the bloodstream feeds cancerous cells like wildfire.

Long story short, if you’re considering this, don’t do it! There are way too many risks and complications involved when you can still lose weight and reduce cancer and diabetes risk by just cutting out the carbs.  Read Tom’s link above.  He’s funnier than I am, but I hope he didn’t give himself a concussion while he was writing it.

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Fighting Low-Carb Boredom

I’m a guy that tends to crave variety when it comes to what I eat.  I have found that one of the most frustrating aspects of trying to maintain a low-carbohydrate diet is that nobody else in the free world seems to make many options available.  Going out to eat, I may only have one or two items on the menu that are actually appropriate to my dietary needs.  Shopping at the grocery store, I almost have to totally ignore the aisles of food and stick with the produce, meat, dairy, and frozen sections.  In fact, there are always options galore for a “food pyramid” based diet, but should one want to keep the glucose spiking foods at a minimum, options are somewhat limited.

So, how does one maintain a minimal carb intake level without getting bored to tears by eating almost the same few meals over and over again?  The best tool to accomplish this is a little something called foresight.  If you plan ahead, and stock yourself up on specialty products, you can actually have a great deal of dietary options when it comes to putting your meals together.  There’s a website I like a lot called Netrition.com.  They carry a vast array of low carb products, from artificial sweeteners, baking products, condiments, and candy.  If you’re looking to add variety, but keep the carbs at a minimum, there’s a bunch of stuff there to try and reviews to let you know what others think of the products.

Another helpful source of meal ideas is the low-carb friends board.  This support board has a bunch of recipe ideas and cooking suggestions for cutting the carbs and still keeping the meal plan fresh.  There’s also a discussion forum on there for Diabetes, which is cool.

Just plan ahead, and your diet won’t get boring.  Eat fast food or regular grocery store stuff, and expect it to be a little more challenging, but if you do get invited out to dinner at casa, or subway, there are options.  Just check out the forum.

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Wouldn’t Touch Glucerna with a 10 foot pole.

Box of Glucerna Shakes

Box of Glucerna shakes I would find at my local drug store

So, one of the things that almost always amuses me when I visit my local grocer or drug store is Glucerna products.  Pick up one of their carbtastical products, and you’ll find marked clearly on the box, “For people with Diabetes.”  Are they serious?  How is consuming carbohydrate supposed to help you maintain healthy blood sugar targets, or a lower A1c score?  Well, I guess if you follow the American Diabetic Association logic, It’ would be somewhat “healthy.”  But the part I get even less than that, is their recommended meal plans on their web site.

Even by their completely lax, outdated, and ridiculous standards, the ADA recommends starting at a mind boggling 45-60 grams carbohydrate per day!  I assumed three squares a day and entered the maximum 60 grams per meal, (so 3×60=180), into their carb choices calculator, and I only came out to 12 “carb choices.”  The lowest the carb choices get on their sample 1900 calorie meal plan is 15.7!  To get that high, I have to consume somewhere around 235 grams of carbohydrate in a single day!  Food pyramid anyone?

And what’s the deal with the Cereal?  Really?!  Cereal?  That’s probably about as good for diabetics as eating, well, 1/8 a cup of sugar.  I mean the nutrition label reads 10 grams of sugar.  Since when was it okay for diabetics to consume sugar?  Don’t tell me any of that crazy “heart healthy” nonsense either.  You should see what Cardiologist Dr. William Davis has to say about where breakfast cereal belongs.  Also look at this article about Smart Start being not so smart.

I guess this would all make sense, if you were a subscriber to the theory that carbohydrates are the only source of energy for the body, but despite what your Diabetes educator might have told you, that’s not true.  They seem to COMPLETELY disregard the body’s capability to produce energy that it needs through a process called gluconeogenesis, which is funny, because there are fancy designer diabetes drugs on the market designed to inhibit this process in the liver.  So all that nonsense about needing to have carbs in your diet, or you’ll starve your brain is garbage science.

When I see Glucerna in my local walgreens, I pick up a box, look at the nutrition panel, chuckle loudly in the aisle, and put it back shaking my head.  It actually makes me sad that there may be “People with Diabetes” that actually buy into that nonsense.  Isn’t that what we’re here for?

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The 21st Century Dark Age of Medicine

Some people, who know me well, know that I hate most doctors.  I am in the process right now of trying to find a doctor that will get behind me in treating my Diabetes effectively.  It’s sad, however when I know more about effective Diabetes care than licensed experts in internal medicine and endocrinology, and also sad that they attempt to discourage me from properly caring for myself because of their age old misconceptions.

Just a few months ago, I went to visit an endocrine specialist that was covered under my limited insurance.  I sat and explained to her what kind of dietary goals I had, blood sugar targets, and the medicines I wanted to try to maintain my blood sugar goals.  Instead of getting any support what-so ever, I was told that my blood sugar targets were too low because I run the risk of hypo too much, my carb targets were too low because I’m gonna starve my brain, but at least she gave me samples of the meds I asked about.  A week later, I decided that I shouldn’t be stressed out at the thought about whether my doctor was going help me live well with diabetes, so I cancelled my follow up appointment.

Now, some folks are trying to suggest that gastric bypass surgery is a possible cure for Type 2 Diabetes.  Not because it’s a good idea, but because they accidentally got the diet part correct because of the crazy side effects of gastric bypass.  Truth is, if you actually skip the useless surgery, and just use the mandatory post op diet, you’ll have better success with Diabetes management and weight loss.  For some retarded reason that I can’t fathom or understand, these doctors can’t connect the dots!

It’s not the doctors’ fault entirely though.  They went to medical school, and had a lot of their material sponsored by big pharma, which is part of the MASSIVE problem with our current health care industry.  The drug companies, don’t give a rats about helping anyone get well, they want people to have a long term dependence on fancy designer drugs, so you will be forced to continue to pay for them indefinitely.

So what happens at medical school?  Apparently they are teaching the doctors to treat the symptoms, but ignore the underlying issues at play causing them.  Example:  Man enters doctors office, and gets tested with high cholesterol.  Doctor, being unhappy with cholesterol numbers decides to prescribe some fancy cholesterol lowering statin, and suggest he eats more whole grains.  Man’s cholesterol lowers slightly, but condition still deteriorates because the original cause of the increase is never investigated or looked into.

It’s like this with almost any medical condition or chronic disease.  The understanding of how to treat these diseases is almost limited to studies funded entirely by drug companies with a financial interest in selling drugs.  The government doesn’t make it any better.  Single interest groups and lobbyists cripple congress from doing anything useful or for the greater good, because the politicians are afraid that they won’t get their campaign contributions when it comes time to campaign for reelection.

So we live in an era where we are treated, but not cured, because staying sick is more profitable, and it’s a tragedy!  I guess if cures for chronic diseases actually do come along, it will be thanks to some researchers outside of the U.S.

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