Just Read: Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016 (it’s way too high)

Just Read: Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016 (it's way too high)

This study has been widely shared already, with a significant degree of alarm. The American Diabetes Association has defined prediabetes as the presence of impaired fasting glucose (IFG; fasting plasma glucose [FPG] concentration between 100 mg/dL to <126 mg/dL; to convert to millimoles per liter, multiply by 0.0555), impaired glucose tolerance (IGT; a 2-hour plasma …

Thank you for Publishing my Letter to The Editor: “A meaty issue” | The Economist

Thank you for Publishing my Letter to The Editor: "A meaty issue" | The Economist

Thank you for publishing my letter to the editor in this week’s edition of The Economist (@TheEconomist). It’s written regarding this published piece in the magazine from November 15, regarding a study about the health and environmental impact of foods. I’d like to thank the Economist team for a friendly dialogue about my concerns over …

Recipe: Low Carbohydrate, Healthy Fat Pecan Pie

Recipe: Low Carbohydrate, Healthy Fat Pecan Pie

Recipe time. This low carbohydrate, healthy fat (#LCHF) pecan pie has No grains, refined or whole No added sugar or syrups No vegatable oils Which gives it the magical (well, science supported) power of not raising blood glucose or stimulating insulin secretion. I was not wearing a continuous glucose monitor for this particular pie, however …

Health and environmental impacts of foods: How to visually transform a published figure to favor a specific interpretation

Health and environmental impacts of foods: How to visually transform a published figure to favor a specific interpretation

The only reason I picked up on the change was because the figure in the original publication (reference below) had such a striking problem when it was published. The analytic method used caused sugar sweetened beverages (SSBs) and other highly processed foods to be presented as “healthful” relative to unprocessed foods. What this shows is …

Slide Update: ADA’s website now includes Low-Carbohydrate Diets in Standards of Care, and looking back on the times the medical profession called people/ideas a “fad”

Slide Update: ADA's website now includes Low-Carbohydrate Diets in Standards of Care, and looking back on the times the medical profession called people/ideas a “fad”

I’ve been asked to present on changes happening in our understanding of nutrition lately, so will be sharing slides here. The above isn’t news to people in the nutrition realm (as of April, 2019). The American Diabetes Association (@AmDiabetesAssn) has officially added low carbohydrate and very-low carbohydrate diets to its standards of care. They have …

Just Watched: Our Transgender Pride Flag Emoji Proposal is Now in a Documentary: Where Emojis Come From

Just Watched: Our Transgender Pride Flag Emoji Proposal is Now in a Documentary: Where Emojis Come From

Thanks to the team at @VPRO and @VPROBroadcast for producing this documentary that unravels the secrets of how emojis are born. Transgender Pride Flag vs White Wine – tale of two emojis The protagonist in the piece is the transgender pride flag emoji born from designer Tea Uglow (@Teaulieu), later joined by a global team …

Photos: Conversations with Human Rights Campaign President Alphonso David, Washington, DC USA

Photos: Conversations with Human Rights Campaign President Alphonso David, Washington, DC USA

I read (again) recently that most humans don’t like change / new things. My generation of physicians love change. We had no choice but to love change, after witnessing the worst ethical crises in the medical profession’s history during our training. That specific time has past, however, we/I still see a short-term memory span when …

Just Read: US Dietary Guidance—Is It Working?

Just Read: US Dietary Guidance—Is It Working?

This is an opinion piece connected to a very interesting study (Trends in Dietary Carbohydrate, Protein, and Fat Intake and Diet Quality Among US Adults, 1999-2016 – see this post) that’s very timely, given that the revision of the Dietary Guidelines for Americans is currently underway. I created a few charts from the data (above …

Just Read: Plant-based foods are 70% of Americans’ Daily Calories – What should future dietary guidance be?

Just Read: Plant-based foods are 70% of Americans' Daily Calories - What should future dietary guidance be?

This data isn’t new, and it’s not enjoyed by anyone I’ve seen write about it, including plant-based or plant-free eating advocates. It paints an unseemly picture of the Standard American Diet (SAD) or a diet gone wrong. According to ERS’s loss-adjusted food availability data, total daily calories per person decreased by 2 percent between 2000 …

Just Read: Trends in Dietary Carbohydrate, Protein, and Fat Intake and Diet Quality Among US Adults, 1999-2016 – 83% of Carbohydrates are from low quality sources

Just Read: Trends in Dietary Carbohydrate, Protein, and Fat Intake and Diet Quality Among US Adults, 1999-2016 - 83% of Carbohydrates are from low quality sources

This paper is a review of the dietary habits of Americans from 1999 – 2016, a follow-up from a previous analysis, using the NHANES database. As the chart above shows: As of 2015, the majority of energy in a typical American’s diet comes from carbohydrates (50.5%), 83.2% of them considered low quality. This has gone …

Calculating carbon footprint as a non-diabetic physician on an LCHF diet

Calculating carbon footprint as a non-diabetic physician on an LCHF diet

People who eat animal-sourced foods to maintain their metabolic health are equicapable and equiresponsible for mitigating climate change. Calculating carbon footprint It’s very difficult, if not impossible, to accurately calculate one’s carbon footprint, because of the different assumptions made about lifestyle in each model. I’ve purchased offsets through the United Nations so I’m using their …

Purchasing Carbon Offsets as a non-diabetic physician on an LCHF diet – How, What, Why

Purchasing Carbon Offsets as a non-diabetic physician on an LCHF diet - How, What, Why

It’s relatively easy to offset one’s carbon footprint with verified projects/vehicles through the United Nations (@UNFCCC) as well as other organizations. How I visited the site(s) of reputable carbon offset providers. I elected to go with the United Nations, as well as another provider, CoolEffect. a. I chose not to go with a provider related …

Most important part of this week’s published nutritional guideline recommendations – personal preferences and values are respected

Most important part of this week’s published nutritional guideline recommendations - personal preferences and values are respected

The most important part of this week’s published nutritional guideline recommendations – personal preferences and values are respected. …other guidelines have paid little or no attention to the reasons people eat meat, and the extent to which they would choose to reduce meat consumption given small and uncertain health benefits. Indeed, no prior dietary guideline …

Slide update: This food, served by and to health professionals, is supported by current dietary guidelines & Insulin is now the 7th most expensive liquid on 🌎 behind Chanel No. 5. This is how we make sure more people need it.

Slide update: This food, served by and to health professionals, is supported by current dietary guidelines & Insulin is now the 7th most expensive liquid on 🌎 behind Chanel No. 5. This is how we make sure more people need it.

I call this an example of a “Meat: No, Diabetes: Yes” policy. It’s colorful, refined, plant-based, insulinogenic, and supported by current dietary guidelines. Insulin is now the 7th most expensive liquid on earth ($13,100/gallon), behind Chanel No. 5 ($23,300/gallon). Unfortunately, this scene is still very common in meetings catered for and by health professionals. It’s …

Photos from Yesterday, Washington, DC USA – Climate is an Emergency

Photos from Yesterday, Washington, DC USA - Climate is an Emergency

Photos from Washington, DC, taken via active transportation (of course). Climate is an emergency It is known what can be done to mitigate climate change, and it’s probably bigger than arguing over what we eat Physicians and the health care system have an important (and accountable) role to our generation and the generations who come …

Just Read: Understanding Global Methane Emissions as a Family Physician without Diabetes (and hoping to keep it that way)

Just Read: Understanding Global Methane Emissions as a Family Physician without Diabetes (and hoping to keep it that way)

“Methane” is said to me as a statement a lot. When I probe if there’s more information behind the statement, I don’t hear very much. The overwhelming majority of physicians do not have a good understanding of climate science. It’s okay, we’re all on a learning journey 🙂 . We should understand: Climate change is …

Thanks for Publishing my Photo, in “Is Weight Loss on Ketosis Sustainable?” | NutritionFacts.org (This one has facts in it)

Thanks for Publishing my Photo, in "Is Weight Loss on Ketosis Sustainable?” | NutritionFacts.org (This one has facts in it)

Thank you for using yet another photograph as the thumbnail/opener for this video, Nutrition Facts (TW:Nutrition_Facts). About this photograph, I have to say, wow, it was part of a great moment for me, because it was Real food, not CRAP – Calorie Rich and Processed Foods – we both agree this is bad! My dinner …

Thanks for Publishing another Photo, in “Keto Diet Theory Put to the Test” | NutritionFacts.org (where did the facts go?)

Thanks for Publishing another Photo, in "Keto Diet Theory Put to the Test" | NutritionFacts.org (where did the facts go?)

Thank you for using my photograph as the thumbnail/opener for this video, Nutrition Facts (TW:Nutrition_Facts). About this photograph, I have to say it was an incredible meal because it included real rood was cooked by people who have achieved metabolic health was shared with board certified family medicine specialist physicians ( I am one too …

Thanks for Publishing my Photo, in Is Keto an Effective Cancer-Fighting Diet? | NutritionFacts.org (where did the facts go?)

Thanks for Publishing my Photo, in Is Keto an Effective Cancer-Fighting Diet? | NutritionFacts.org (where did the facts go?)

Thank you for using my photograph as the thumbnail/opener for this video, Nutrition Facts (TW:Nutrition_Facts). This is a photograph of a meal that I ate, served at the RD86 space (IG:rd86space) in New London, Connecticut, at Ketofest 2018. The meal is actually special because of who I shared it with, Nina Teicholz (@BigFatSurprise) and Richard …

Photo Friday: Real or Artificial Meat, NOVA Group 1 (Unprocessed), NOVA Group 4 (Ultra-processed), and the USDA Bioengineered Food Disclosure Standard

Photo Friday: Real or Artificial Meat,  NOVA Group 1 (Unprocessed), NOVA Group 4 (Ultra-processed), and the USDA Bioengineered Food Disclosure Standard

We’re now in the era of diabetes reversal, why don’t more doctors know? This week’s photos were taken in Washington, DC (of course), with curiosity about what different food products look like in reality. See if you can guess which is real or not. The answer is below, along with more info about ingredients, NOVA …

Recipe: Primal Beef and Broccoli – NOVA Classification Group 1: Unprocessed or minimally processed foods

Recipe: Primal Beef and Broccoli - NOVA Classification Group 1: Unprocessed or minimally processed foods

We’re now in the era diabetes reversal, why don’t more doctors know? I’m also in my era of food photography….doctors don’t need to know that part 🙂 Tip: Ground beef and Broccoli are both NOVA classification Group 1: Unprocessed or minimally processed foods. This beef is grass fed, grass finished, pasture raised, and includes organ …

The Spoonfuls don’t carry the American Heart Association seal; The Squarefuls do. 2nd Ingredient: Cane Sugar

The Spoonfuls don't carry the American Heart Association seal; The Squarefuls do. 2nd Ingredient: Cane Sugar

The American Heart Association operates a “Heart-Check Certification” program that evaluates foods for their heart healthiness, yet a walk through a grocery store today shows that the certification program includes ultra-processed foods with a high sugar content. Pictured: “Barbara’s Multigrain Squarefuls,” #2 ingredient whole cane sugar, 47 grams of carbohydrate per serving. Confirmed that this …

Photo Friday: We’re now in the era of Diabetes Reversal, Why Don’t More Doctors Know?

Photo Friday: We’re now in the era of Diabetes Reversal, Why Don’t More Doctors Know?

This week’s photo was taken during experimentation with macro lenses and food photography. I encounter so many physicians who have never heard the term “diabetes reversal” or have misconceptions and misunderstandings about therapeutic nutrition. Tip A low-carbohydrate diet includes carbohydrates And plants And plants pre-digested by ruminants View this post on Instagram We’re now in …

Just Read: Cutting Carbs Curbs Kilos, Cholesterol, Blood Pressure – And Maybe Not in that Order

Just Read: Cutting Carbs Curbs Kilos, Cholesterol, Blood Pressure - And Maybe Not in that Order

We’re now in the era of diabetes reversal. Why don’t more doctors know? Tip for fellow physicians: Question the statement “low carbohydrate diets work only in the short term.” Many of the often-quoted studies about diet and health are surprisingly short term. Perhaps most notably, the widely cited DASH diet [25] to lower blood pressure, …

Slide Update: Few Americans are Vegetarian or Vegan, Explicit Weight Bias in Medicine Now Greater than LGBTQ, Recognition of the Authentic Human is the Best Success

Slide Update: Few Americans are Vegetarian or Vegan, Explicit Weight Bias in Medicine Now Greater than LGBTQ, Recognition of the Authentic Human is the Best Success

I am in the 94 %. I have spent time in the 3 % or 5 % for short spans.

Metabolically healthy eating patterns can exist across 100% of the spectrum – with real food performing best and adjustments made for insulin resistance, as well as supplementation, in all categories, which can be done with medical supervision. Anything is better than the standard american diet (SAD), we know how that’s performing.

Continue reading→

Photo Friday: Beef Brisket, Brussels Sprouts and GWP*: in search of my/the Sustainable Diet

Photo Friday: Beef Brisket, Brussels Sprouts and GWP*: in search of my/the Sustainable Diet

Climate change is a threat to human health. This week’s photograph was taken in Washington, DC (of course). The photograph below is the impact on my blood sugar levels of this glycemic index 0 meal (I skipped the sauce) What is the/my Sustainable Diet? I don’t have an answer to this question. And, I would …

Slide Update: If you’re tied to dogma, what’s your interest in data?

Slide Update: If you're tied to dogma, what's your interest in data?

Time for another slide update….

I have always been fascinated by the topic of conflict of interest, maybe because my generation of physicians was trained in an environment that was chock-a-block full of conflict, with no balance.

We now live in an era where there is more disclosure, however, it still happens in the background of discourse that is clearly influenced by it (the conflict).

These are some examples, along with some sage advice from Salim Yusuf, OC FRSC, Distinguished University Professor of Medicine, McMaster University, lead investigator of the PURE study.

Continue reading→

Photo Friday/Recipe: Broccoli and Bacon Stir Fry – Plants, an ideal vehicle for fat

Photo Friday/Recipe: Broccoli and Bacon Stir Fry - Plants, an ideal vehicle for fat

This week’s Photo Friday is also a recipe, for Broccoli and Bacon stir fry. This one is pretty easy and there are multiple versions of it online, I chose this version to share: See: Broccoli and Bacon Stir Fry Recipe – Todd Porter and Diane Cu | Food & Wine I would omit the worcestershire …