Not so healthy heart

fullsizerenderRecently one of the drug reps that calls on my partners practice kindly left a complementary cook book for us called ” Cooking from the heart. This is a cook book released from time to time by the Heart and Stroke foundation of South Africa and contains, apart from detrimental tips like “sunflower and canola oils are good choices”, a variety of recipes considered by this organisation to be healthy. 

Before I explain why I take exception to this recipe book let me enlighten you as to why organisations like Diabetes SA , The Heart and Stroke Foundation, CANSA recommend eating this way. 

fullsizerender-51 – these organisations are sponsored by the food industries they promote.

2 – they feel that the general public are too stupid and non compliant to be given any special dietary recommendations and therefore don’t see the point in offering an alternative to the carb loaded, fat free rubbish diets that we have become accustomed to and which, by the way, is driving our obesity and diabetes epidemic ( not to mention cancer and dementia) 

One twitter user commented that anything with a healthy heart logo will give you disease and people should view the logos as a warning not an endorsement

Now lets look at a few stats. Here is a excerpt taken right off the Heart Foundation website. 

South Africa has the highest overweight and obesity rate in sub-Saharan Africa, with up to 70% of women and a third of men being classified as overweight or obese. A staggering 40% of women in our country are obese, which means they have a body mass index greater than 30 kg/m2. However, this is no longer just an adult problem, 1 in 4 girls and 1 in 5 boys between the ages of 2 – 14 years are overweight or obese. Obesity is associated with a number of diseases including type 2 diabetes, heart disease, stroke, hypertension (high blood pressure), joint pain and certain cancers.

NB where we refer to diabetes in this post , we mean type 2 diabetes.

According to this article released by the Centre for Diabetes and Endocrinology” recent data from the International Diabetes Federation (IDF) estimates that 7 % of South Africans between the ages of 21 and 79 years have diabetes (International Diabetes Federation.)

Based on the latest population estimates for South Africa, this means that 3.85 million South Africans in this age group may have diabetes. However, these statistics only shed light on the surface of a much deeper problem.

To fully appreciate the current statistics on the prevalence of diabetes in South Africa, one needs to look back. In 2010, the prevalence of type 2 diabetes in South Africa was estimated at 4.5 % (3) . Thus, a 155 % increase in 6 years! Such data begs the question – what will the prevalence be in 6 years from now? Will there be another 155 % increase, with 5.97 million adults living with diabetes, or will the increase be even greater? Additionally, the data is grossly uncertain. A closer look the prevalence data from the 2015 Edition of the IDF Diabetes Atlas, indicates that the uncertainty range of the given prevalence is between 3.6 and 14.1 % (1) . With such a large range, one can deduce that the data is rather a ‘guesstimate’ based on imperfect data. The truth of the situation is that we do not know the true extent of the problem. What about those who are undiagnosed, living blissfully unaware while diabetes remains in hiding? The limited data suggest that there are 0.630 to 2.394 million people with undiagnosed diabetes.”

It is estimated, perhaps optimistically, that in developing countries, including South Africa, less than half of people with diabetes are diagnosed.

As if that is not bad enough. It is now estimated in many countries that 1 in 4 skinny people have pre-diabetes and are ‘metabolically obese’. These people are referred to as ” skinny fat”, also termed Metabolically Obese Normal Weight (MONW),terms used to describe a person who is in an ideal weight range but has more body fat than is healthy.

Yet here these organisations are, promoting crap like future life cereal, bread and smart shakes equivalent to drinking 7.5tsp pf sugar, as a part of a healthy diet. If you don’t believe me go check out their websites

What you are also not being told is that diabetes is a result of INSULIN RESISTANCE along with hypertension, non alcoholic fatty liver disease, obesity, Atherogenic dyslipidemia. Insulin resistance is caused by ?………………. high carbohydrate intake ! Of course there are contributing factors like genetic predisposition, sedentary lifestyle and junk food diet but ALL carbohydrate raises insulin levels and in people who are already carbohydrate intolerant even the standard ” healthy” heart diet comprising 50 – 60% energy intake from carbs will tip you over the edge. 

fullsizerender-10 fullsizerender-2

But there is worse. It would be really remiss of the Health Heart folk to leave out a dessert section, so although recipes are already carb loaded , containing 35g of carb per recipe and up which is equivalent to 8.75 tsp of sugar ( yes I calculated many of them) it’s okay to add sugar loaded pudding into the mix! Brilliant. 

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Now coincidentally this morning my friend Jeff Cyr posted a really great piece that relates exactly to why I find this cook book so disturbing. Jeff is a REALLY smart guy and has lots of value to share so I highly recommend you pop over to his FB page and follow his informative posts. Jeff has an incredibly inspiring story too which you can read here

Jeff very kindly has given me permission to use his post and I encourage you all to read it so you understand why eating a SAD ( standard American diet ) is NOT a healthy option, and any organisation promoting it should be viewed with skepticism. 

1 SLICE OF TOAST
by Jeff Cyr😎🤓

Many of you have become aware of the work of Dr. Joseph Kraft. Dr. Kraft over a period of 25 years studied glucose metabolism and blood insulin levels at St. Joseph Hospital in Chicago Illinois. Dr. Kraft performed 14,384 oral glucose tolerance tests (OGTT) with insulin assays and eventually wrote a book about this titled * Diabetes Epidemic And You*

Dr. Kraft studied how insulin responded to a certain load of glucose (carbohydrate). Dr. Kraft used an oral glucose solution of 100 grams which is equivalent to 100 non-fibre grams of fast acting carbohydrate, like carbs found in bread.

I won`t go into all the details of Dr. Kraft`s book. Basically Kraft wanted to find out how much insulin the pancreas would have to release to process the glucose (carbohydrate) load of 100 grams.

Kraft found out that a normal insulin response from the pancreas was a release of 40-50 units of insulin needed to handle this glucose (carbohydrate) load of 100 grams. Also a normal response would be that these test subjects had their insulin levels quickly return to their normal fasting insulin levels of 3-10 units within 3 hours. Kraft identified these test subjects as Pattern 1 normal response. These people also had their blood sugar very quickly return to their normal range.

Before I continue I need to make 1 very important point. Some people can eat a high carbohydrate diet for most of their lives and they will be fine as long as they remain insulin sensitive. If your cells hear the proper signal from insulin, glucose (carbohydrate) will very easily enter the cells and be used as energy, you maintain your metabolic flexibility

Dr. Kraft also identified a Pattern 4 response in his test subjects. These Pattern 4 had fasting insulin levels of 50-60 units. Once these people drank the 100 gram load of glucose their insulin levels rose to 180 units of insulin within 1 hour of ingesting the glucose load. Their insulin levels remained very elevated for hours and only returned to their fasting levels of 60 units in 5 hours.

One very important point you have to keep in mind is that these folk had *Normal* fasting blood glucose and normal postprandial BG levels.

You have 3 phases of insulin release.

1-1st phase insulin release= In between meals your pancreas makes and stores insulin in the form of granules so when you eat your next meal the pancreas is ready to quickly release whatever amount of insulin is needed to handle the glucose (carbohydrate) load.

High blood sugar is very toxic to the cells and to the blood itself.

The human body will do whatever is necessary in the moment to protect itself, you eat a high carbohydrate meal and the pancreas will release whatever amount of insulin is needed to process the carbohydrate load.

As long as you maintain proper B cell function in the pancreas, your pancreas will be able to release enough insulin to process the said load of carbohydrate.
This 1st phase, quick and large release of insulin is lost in most T2 diabetics.

2-2nd phase insulin release. If after 30-40 minutes your blood glucose does not start to lower fast enough your pancreas hurries itself and starts to produce more insulin to try and lower your blood glucose to the normal range.

3-Basal insulin release= during periods of no food intake in-between meals your pancreas release small pulsating squirts of insulin to maintain glucose homeostasis (70-110). Your pancreas also releases a basal release of glucagon (alpha cells). Insulin and glucagon are the 2 hormones in charge of maintaining your glucose homeostasis.

OK thats enough about Dr. Kraft now I need to tell you about the important part of my post, My title of * 1 slice of toast*

Dr. Ron Rosedale many years ago while he was still in private practice would preform these Dr. Kraft style tests in his office. Rosedale had parents that would take their young children to him because they wanted to know why their kids were becoming obese. What these parents didn`t understand was that they were all basically eating the same SAD high carb diet. These kids were the age of 10-12 years old.

Rosedale would measure fasting blood sugar (FBG) and fasting insulin in these kids, all normal. Dr. Rosedale did not use the same oral glucose solution of 100 grams like Kraft did, Rosedale was smarter then that. Rosedale gave these kids *1 slice of Toast*. 1 slice of bread averages 25 grams of non-fiber fast acting carbo, *Rocket Fuel*.

Within 30-45 minutes of ingesting this slice of toast these kids insulin levels very quickly rose into the hundreds and remained elevated for quite some time. Keep in mind that these young children had most of their beta-cells in the pancreas still functional and had a *Very Large and Quick* 1st phase insulin release.

Rosedale in his writings says that in SOME of these kids it only took 2 crackers to have the same effect as that 1 slice of toast on insulin levels.

Yep, I believe that Rosedale was on to something back then, he certainly answered the parents question as to , *Why is my child Obese*

Please keep in mind that if you are this 10 year old kid (I was) you are diabetic, just undiagnosed. You have many years of high insulin (hyperinsulinemia) *Before* you start to have high blood sugar (Hyperglycemia).

Once your diagnosed as a T2 Diabetic with high fasting blood glucose levels, you have gone through many years of very high insulin levels circulating in your circulatory system.

You have many miles of blood vessels, veins and arteries in your circulatory system, 60,000 miles of blood vessels in the human body.

MOST doctors don`t understand this very simple fact, if you`re insulin resistant your pancreas will release large amounts of insulin when you consume a high carbohydrate meal.

The human body is designed to maintain very narrow ranges of its blood glucose levels, glucose homeostasis, 70-110 mg/dl.

High blood sugar is very toxic to all your cells and also very toxic to the blood itself.

You only need ~5~ grams of carbohydrate dissolved in your blood volume of 5 liters of blood to have a blood glucose of 100 mg/dl, 5.5MMOL…

5 liters of blood= 1000 teaspoons of blood.

5 grams of carbohydrate=1 teaspoon of glucose.

This is a ratio of 1000-1.

You only have very few glucose dependent tissues in the human body. These are found in the brain(100% if not keto-adapted), the red blood cells, the renal medulla of the kidneys, and the retinas, everything else in the human body runs on fat, fatty acids and ketones.

The human brain uses 23% of your total resting energy expenditure, approximately 120-150 grams of carbohydrate, just for the brain.

Once the brain is keto-adapted it runs on a combination of glucose and ketones.

This reduces your need of carbohydrate, dramatically.

Once you`re keto-adapted your minimal glucose needs are very easily meet by the process of gluconeogenesis.

Gluconeogenesis is the process when your liver takes protein amino acids and by-products of fat metabolism and makes new glucose.

Gluconeogenesis is a very slow and demand driven process, your blood glucose levels remain steady, no more blood glucose highs and lows from a high carbohydrate diet.

Blood glucose and insulin are normalized, no more hunger, no more erratic behavior.

You are no longer a slave to carbohydrate.

Get keto-adapted today.

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