The Hypocritic Oath

Make Money Fast!!! And Cure Diabetes

Posted in Uncategorized by trinkwasser on September 13, 2009

The internet is full of scams (you noticed huh???) all too often you see some link to a Revolutionary Diabetes (or insert favourite disease) cure. Usually you are exhorted to send money for either a poorly written book containing information cut and pasted from some allegedly “official” site, or a poorly spelled rewrite of same, or some miracle cure pills which may well contain crap but may equally well contain genuinely useful supplements (that’s if your diet is deficient in them) which could however be purchased much more cheaply as generics elsewhere.

Try this for example (hint: you need to click on any of the links to get the point)

OK, this one might just work though.

[1] look at current farm gate prices

[2] check the number of adverts for xxx low fat product on TV

[3] see if the manufacturer is making donations to Diabetes UK, the ADA, etc. or is backing sites like Carbs4Life or ShitFatNav

[4] buy shares

[5] take the profit and spend it in your local greengrocer, butcher, fish shop or farmers’ market

[6] eat the results


4 Responses

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  1. Carb O'Phile said, on September 14, 2009 at 10:19 am

    Never thought we’d agree on anything, not sure whether donating resources to DUK is necessarily a bad thing but agree wholeheartedly that food manufacturers should stay out of food health advice.

    As for the so-called ‘cures’, there’s nothing like a good evidence base is there? What do you think of Sucroguard by the way?

    • trinkwasser said, on September 14, 2009 at 1:54 pm

      Hahahahaha thanks for the readers you’ve sent me.

      The problem is that the “evidence base” is largely a result of studies financed by drug manufacturers and food manufacturers who have no interest in studying things which don’t lead directly to increasing their profits, and who often sit on “evidence” that disagrees with their preconceptions. Gannon and Nuttall did several studies on low carb diets many years back, some financed by the ADA, which were effectively hidden away in an obscure part of the website while the ADA Official Line was that low carb diets were, well, maybe not such a bad thing after all but had not been studied in the long term. IF they’d followed up on their studies they would have by now had many years of long term research, but probably many years fewer donations from their sponsors. Now John Buse has gone I no longer see that changing any time soon.

      Over the years I’ve seen literally thousands of Type 2s (and not a few Type 1s) who have radically improved their condition through diet and exercise and the same is true for obesity, other cardiovascular diseases and even a significant part of the “fitness community”: when you work with your genes rather than against them and eat and behave in the way we evolved to do over millennia it tends to work a bit better than current dietary policy of going face down in the carbs, avoiding fats and overdoing the cardio to burn off the excess glucose – see all the blogs I’ve shortlisted for further details, and references. If you read between the lines most of the “evidence” is saying that the “Heart Healthy” diet shows a marginal improvement over a diet of crap – but much of the “evidence” that you can significantly improve on this result remains anecdotal and will remain so until suitable studies are financed. Ancel Keys’ narcissism has a long reach over time. Going back to pre-Keys days, as Gary Taubes did, proves interesting.

      There’s always been a healthy (sic) amount of evidence that current dietary policies are causal of the current “epidemics” of metabolic dysfunction but mostly hidden away in obscure places like Richard Feinman’s site and it’s only now that they are starting to turn up in mainstream journals and even get picked up in mainstream media.

      So yeah, a GOOD evidence base would be a good plan but isn’t there yet, the current evidence base is more like rearranging the deckchairs on the Titanic while ignoring the iceberg.

      Sucroguard looks like a lot of other patented supplements, nothing directly harmful but nothing you couldn’t get from a decent diet. May be a helpful addition if you consistently eat too many carbs so you don’t have room for enough healthy fats and nutrient-filled vegetables, especially if you are elderly and have malabsorbtion problems.

      The benefit of modern technology is that you can build your own personalised “evidence base”, my BG meter, BP meter and lipid panels all agree that I’m doing spectacularly better eating the exact opposite of what the dietician told me to eat. Tweaking things and testing demonstrates whether it works or not. Over time I’ve trialled various supplements, doing a month on and a month off (sometimes I’ve done the same with prescribed meds) demonstrates whether or not they are worthwhile. My personal selection includes Vitamin D3 and currently magnesium citrate, and alpha lipoic acid which shows distinct effects on my insulin resistance, particularly in the alpha cell/glucagon/liver circuitry. Recently I trialled Niacin and Pantethine (not pantothenic acid) to see if I could replace my statin. This works for some but not for me so I dropped them and returned to the simvastatin. I’m currently trialling fish oil in addition to the fish and grass-fed meat to see if I can improve my Omega 3/6 ratio over just dropping the Omega 6s.

      However the results show a small percentage of the improvements obtained from a rational diet: how about doubling my HDL and decimating my trigs? All done by avoiding toxic quantities of carbs, especially wheat, and eating a healthy balance of fats. Not only patients but many clinicians report such improvements but this largely remains anecdotal and thus Not Evidence.

  2. Carb O'Phile said, on September 14, 2009 at 3:34 pm

    No problem, for the readers that is! You could send a few more my way if you like 🙂 All in the name of balance (not the DUK magazine) of course.

    Largely I agree with you – without a good evidence base one can only rely on one’s own equipment. Like you, I rely on my meters and my blood tests (the scales tell lies however) and all of them tell me that I’m doing the right thing.

    Now don’t get me wrong, I’m not a critic of a low carb diet, but whilst we’re talking about personalisation, surely that applies to all that we do, including diet? Now, my memories playing tricks on me, I’m sure I saw you say somewhere on this blog that some type 2s are more carb tolerant than others, please tell me glucose isn’t interfering with my neural pathways?

    I am, however, a critic of those that would make money out of my condition (and that does include big pharma).

    With regards to Vitamin D I much prefer Ted Hutchinson’s idealised society where everyone walked around topless 🙂

    • trinkwasser said, on September 15, 2009 at 6:24 pm

      The same is true for nondiabetics, Stephan at Whole Health Source has some interesting stuff, like the Kitavans. However my experience is that the number of Type 2s who can actually handle carbs is probably less than 1%, yet a high carb diet is used as default. Similar for nondiabetics, the Government seems to have accepted that a third of the population will become diabetic and I wouldn’t like to guess at the proportion of the population who expresses “metabolic syndrome” without reaching the rather artificial cutoff point for diabetes, AFAICR Gerald Reaven suggested as much as 75% of the population may be carbohydrate intolerant, and much of the not-evidence from all those Primal etc. blogs suggests even that may be an underrestimate when you look at all the improvements that accrue from replacing them with other macronutrients.

      Type 2 is actually a bunch of similar but different diseases. We have a high familial incidence of insulin resistance unrelated or negatively correlated with obesity. Other people to whom I am not related show the same thing. Rare but not uncommon. I’ve probably had no or not much more Phase 1 insulin since childhood but my Phase 2 is still pretty robust and sometime excessive (reactive hypoglycemia, the insulin output starts late and then doesn’t shut off in time) whereas other “Type 2s” may have a completely different balance between insulin resistance and pancreatic destruction.

      Here’s a thought experiment for you: shoot your basal as usual but dont use any bolus insulin throughout the day. See what you can eat. Once in a while shoot entirely the wrong amount of bolus, or with the wrong timing. Congratulations, you have just become me! I suspect the only diet that will work will have minimal carbs.

      DON’T actually do this, that would be stupid. Yet that’s exactly the result of the advice that Type 2s are usually given by health professsionals.

      It’s plausible that some of those Type 2s, like other high carbers, have digestive enzymes or liver biochemistry that actually enables them to convert excess carbs into saturated fat without causing all the other metabolic dysfunctions the rest of us suffer from. It’s equally plausible that their pancreases are still capable of generating excess insulin to deal with the excess carbs for now, but are about to self-destruct spectacularly (some Type 2s can disintegrate faster than some Type 1s) do you want to make that judgement call?

      IMO considering the large number of reported health benefits from reducing carbs vs. the relatively small number of negative reports, and comparing statistics with the days before Heart Healthy High Carb Low Fat diets took hold, I’m inclined to say “No Contest!”

      Here is a pretty interesting paper. OK it’s those damn rats again, but read between the lines: it looks like they set out to “prove” high fat diets were dangerous, failed, but published anyway – so all power to them!

      What this appears to be saying is that there is a genetic adaptation to a high fat diet which doesn’t occur with a mixed diet – exactly what many people find anecdotally, once you shift your metabolism away from carbs/glucose there’s an adaptation period (“Atkins flu”) and after that you function much better with improved lipids and other numbers and improved energy, concentration etc. My theory is that Mark Sisson is right, when you revert to the diet we evolved to eat you shut down a lot of the genes which are involved in chronic disease states and which were originally only designed to be used acutely in cases of emergency.

      Thanks to Peter at Hyperlipid for that paper – and to someone else too, I had it open in two different tabs in two different windows so someone else must also have referenced it.

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