Blog

Starchy, Low-Fat Diets Reduce Deaths From Type 2 Diabetes

Here is an inter­est­ing arti­cle that was pub­lished in the Pro­ceed­ings of the Roy­al Soci­ety of Med­i­cine in 1949. It points out that type 2 dia­betes is com­mon in places where peo­ple eat a fat­ty, low-carb diet and rare in places where peo­ple eat a starchy, low-fat diet. When a pop­u­la­tion that had been eat­ing a fat­ty diet switch­es to a starchy diet, such as under rationing in wartime, the num­ber of peo­ple who die of com­pli­ca­tions of dia­betes falls off dra­mat­i­cal­ly. See the graph on page 324 to see the effects of rationing, eco­nom­ic slump, and the intro­duc­tion of insulin ther­a­py on the num­ber of peo­ple who died of dia­betes in Eng­land and Wales in the ear­ly 20th cen­tu­ry.

The author point­ed out that you can see the same rela­tion­ship between high fat con­sump­tion and deaths from dia­betes all over the world:

There thus seems to be a uni­ver­sal rela­tion between diet and dia­bet­ic mor­tal­i­ty. The dietet­ic fac­tor most close­ly relat­ed is fat con­sump­tion.

It may seem odd that the intro­duc­tion of insulin ther­a­py didn’t make a dent in the graph.  That’s because most peo­ple with dia­betes have type 2 dia­betes, which used to be called non–insulin-dependent dia­betes. You’d see a dif­fer­ent pic­ture if you looked at a graph of deaths from type 1 dia­betes, which used to be called insulin-depen­dent dia­betes.


Note: For a clear expla­na­tion of why high-car­bo­hy­drate diets are good for peo­ple with any type of dia­betes, see my book Thin Dia­betes, Fat Dia­betes: Pre­vent Type 2, Cure Type 2.

Behind Barbed Wire_Print

Where Do Elephants Get Their Protein?

I chose the goril­la motif for this blog because goril­las are the biggest and most pow­er­ful pri­mates, along with being about as close as pos­si­ble to veg­an as you can get while eat­ing many pounds per day of veg­e­ta­tion in a rain for­est. I want­ed to point out that peo­ple sim­ply don’t have to wor­ry about get­ting enough pro­tein or cal­ci­um from a plant-based diet. In real­i­ty, the ani­mal-based foods that we have been urged to eat don’t pro­vide any nutri­ents that we can’t eas­i­ly get from plants or bac­te­ria. If you are still wor­ried about pro­tein, think about where ele­phants get their pro­tein. Ele­phants are even big­ger and even stronger than goril­las. A big ele­phant can eat up to 600 pounds of food a day.

Pho­to by mcough­lin

Is the Child Resisting Toilet Training? Or Merely Constipated?

Yes­ter­day, a friend of mine told me about a four-year-old boy who was “resist­ing” being toi­let trained. She said that the child would uri­nate in the toi­let but that he’d “hold it” for three days rather than defe­cate in his pot­ty. I told her that I couldn’t imag­ine that any­body who eats a high-fiber veg­an diet could “hold it” for three days, even if he tried, unless he was tak­ing mor­phine or some oth­er drug that shuts down gut motil­i­ty. I said that the child’s prob­lem didn’t sound to me like resis­tance to pot­ty train­ing. It sound­ed like con­sti­pa­tion. His refusal to go on the pot­ty prob­a­bly reflects the fact that his bow­el move­ments are uncom­fort­able or even ago­niz­ing­ly painful, and it’s prob­a­bly because he’s being fed dairy prod­ucts and a lot of processed food. She admit­ted that the poor child was being fed cow’s milk and wasn’t eat­ing much fruit and veg­eta­bles or even whole grains.

Think about it. If you are a tod­dler or preschool­er and have had some painful expe­ri­ences on the pot­ty, wouldn’t you avoid the pot­ty the way you’d avoid any tor­ture device? Painful expe­ri­ences have trained the child to avoid the pot­ty. I can only hope that the poor child’s care­givers aren’t adding to the child’s mis­ery by pun­ish­ing him for fail­ing to use the pot­ty.

Bow­el move­ments aren’t sup­posed to hurt. If a child’s bow­el move­ments are infre­quent or dif­fi­cult, there is some­thing wrong. The usu­al cause of the prob­lem is the diet.

Cow’s milk and oth­er dairy prod­ucts are a com­mon cause of severe con­sti­pa­tion in chil­dren. The diges­tion of casein, which is the major pro­tein in cow’s milk, pro­duces pro­tein frag­ments that are called caso­mor­phins because they have drug effects that are sim­i­lar to those of mor­phine. Besides being slight­ly addic­tive, caso­mor­phins can cause severe con­sti­pa­tion. For­tu­nate­ly, human beings do not need to con­sume any cow’s milk prod­ucts at all, ever.

A low-fiber diet is also a com­mon con­tribut­ing cause of con­sti­pa­tion in chil­dren. Ani­mal-based foods all con­tain zero fiber, and refined plant foods con­tain very lit­tle fiber. As a result, the stan­dard Amer­i­can diet, which is based on ani­mal-source foods (includ­ing dairy prod­ucts) and refined foods, is a recipe for con­sti­pa­tion. It is also a major cause of appen­dici­tis, which can be dead­ly. If all of the foods that a child is offered con­tain fiber, the child will eat fiber.

Often, a child’s refusal to use the pot­ty is viewed as a prob­lem with the child’s behav­ior. How­ev­er, I think that when a child doesn’t poop for three or more days, it’s prob­a­bly the care­giv­er, not the child, who is mis­be­hav­ing. The care­giv­er is prob­a­bly fail­ing to feed the child the kind of diet that would enable the child to have nor­mal bow­el move­ments. Any health­care pro­fes­sion­al who sug­gests drug treatments–even over-the-counter laxatives–or behav­ioral inter­ven­tions with­out teach­ing the care­givers how to cor­rect the child’s diet is also mis­be­hav­ing, in my hum­ble opin­ion.

Online course in nutrition from Cornell University

Cor­nell Uni­ver­si­ty is offer­ing an online course in nutri­tion, under the super­vi­sion of T. Col­in Camp­bell, PhD, a nutri­tion­al bio­chemist who is also one of the world’s fore­most author­i­ties on nutri­tion­al epi­demi­ol­o­gy. The course pro­vides essen­tial infor­ma­tion for health­care pro­fes­sion­als (doc­tors, nurs­es, chi­ro­prac­tors, dieti­tians, nutri­tion­ists), patients, teach­ers, par­ents and any­one in the gen­er­al pub­lic with an inter­est in reach­ing opti­mal health and dietary excel­lence. Med­ical doc­tors who take the course can get 19 Con­tin­u­ing Med­ical Edu­ca­tion cred­its for tak­ing the course.

Type 1 Diabetes: It’s the Milk, Not the Shots!

I was lis­ten­ing to a self-edu­cat­ed, self-styled health expert who was talk­ing on the radio yes­ter­day. He said some­thing about some vit­a­min ther­a­py for type 1 dia­betes, and then he said some­thing that shocked and upset me. He men­tioned what he believes is the cause of type 1 dia­betes. I expect­ed him to say “cow’s milk.” There’s plen­ty of evi­dence to sup­port the role of cow’s milk in caus­ing type 1 dia­betes. If more par­ents knew about the link between cow’s milk and type 1 dia­betes, it’s like­ly that few­er chil­dren would come down with type 1 dia­betes. Instead, he said, “vac­ci­na­tions.” I’d nev­er before heard of any link between vac­ci­na­tions and type 1 dia­betes, so I quick­ly did a MEDLINE search. I looked for arti­cles on vac­ci­na­tions and the cause of type 1 dia­betes in humans. If you click on this link, you’ll see the same arti­cles I did:

http://www.ncbi.nlm.nih.gov/pubmed?term=%28%22Vaccination%22%5BMesh%5D%29%20AND%20%22Diabetes%20Mellitus%2C%20Type%201%2Fetiology%22%5BMesh%5D%20AND%20Human%5BMesh%5D

For me, this search yield­ed 60 arti­cles, many of which I could read for free. By the time that you repeat this search, there may be more. Some of them were about the abil­i­ty of vac­cines to pro­vide pro­tec­tive immu­ni­ty in chil­dren who already had type 1 dia­betes. Sev­er­al arti­cles were about the attempts to devel­op a vac­cine to pre­vent type 1 dia­betes.

One arti­cle point­ed out that rubel­la infec­tion was the only infec­tious dis­ease that has been clear­ly impli­cat­ed as a con­tribut­ing cause of any form of type 1 dia­betes. Of course, rubel­la could be com­plete­ly erad­i­cat­ed, along with measles, if all of the world’s coun­tries par­tic­i­pat­ed in a com­pre­hen­sive vac­ci­na­tion cam­paign. Unfor­tu­nate­ly, many peo­ple are refus­ing to get their chil­dren vac­ci­nat­ed against rubel­la because they are con­vinced that the MMR vac­cine caus­es autism. I remem­ber one woman in par­tic­u­lar telling me that her child’s autism result­ed from mer­cury in the MMR shot. I told her that I was sor­ry that her child has autism, but I can guar­an­tee that mer­cury in the MMR shot had absolute­ly noth­ing to do with it. That’s because the mer­cury-con­tain­ing preser­v­a­tive thiom­er­sal has nev­er been used in the MMR vac­cine. I also explained to her that since con­gen­i­tal rubel­la infec­tion is a pos­si­ble cause of autism-spec­trum dis­or­der, then her efforts to scare peo­ple away from the MMR vac­cine might make the prob­lem worse, not bet­ter. If the world’s pop­u­la­tion worked togeth­er to erad­i­cate measles, mumps, and rubel­la, then the MMR vac­cine would no longer be need­ed.

The stud­ies that looked for evi­dence of a sta­tis­ti­cal rela­tion­ship between var­i­ous vac­ci­na­tions or vac­ci­na­tion sched­ules and type 1 dia­betes kept com­ing up emp­ty-hand­ed. As the biggest and best-designed study con­clud­ed:

These results do not sup­port a causal rela­tion between child­hood vac­ci­na­tion and type 1 dia­betes.

If there real­ly were some sort of cause-and-effect rela­tion­ship, it would leave some evi­dence of its exis­tence. In oth­er words, we don’t have an absence of evi­dence, we have evi­dence of absence! There’s no ratio­nal rea­son to blame vac­ci­na­tions for caus­ing type 1 dia­betes!

So far, vac­ci­na­tion cam­paigns have led to the com­plete erad­i­ca­tion of two infec­tious dis­eases: small­pox and rinder­pest. Small­pox is a human dis­ease that was once a major cause of death and dis­fig­ure­ment. Rinder­pest killed hun­dreds of mil­lions of cat­tle. The next human dis­ease that is about to be erad­i­cat­ed by vac­ci­na­tion is polioGuinea worm dis­ease (dra­cun­cu­lia­sis) is about to be erad­i­cat­ed by a cam­paign of edu­ca­tion about san­i­ta­tion. It is tech­ni­cal­ly pos­si­ble to erad­i­cate measles, mumps, rubel­la by vac­ci­na­tion and lym­phat­ic filar­i­a­sis (ele­phan­ti­a­sis) and cys­ticer­co­sis (pork tape­worm) by oth­er meth­ods. There is even talk of erad­i­cat­ing malar­ia.

Nowa­days, it’s no longer nec­es­sary to vac­ci­nate peo­ple against small­pox. Soon, it will no longer be nec­es­sary to vac­ci­nate peo­ple against polio. I look for­ward to the day when measles, mumps, and rubel­la are erad­i­cat­ed and the MMR vac­cine will no longer be need­ed. In the mean­time, there’s no need to wor­ry that the cur­rent­ly used vac­ci­na­tions pose any risk of type 1 dia­betes.


no-more-measles-coverNote: Most of the peo­ple who build anti­vac­cine Web sites and pro­duce anti­vac­cine doc­u­men­taries have a prof­it motive. Some of them are faith heal­ers who want you to put mon­ey in their col­lec­tion plate. Oth­ers are sell­ing over­priced vit­a­mins and unproven herbal reme­dies over the Inter­net. Still oth­ers are pro­vid­ing some sort of ser­vice that has nev­er been proven to be safe and effec­tive. A few of them run non­prof­it orga­ni­za­tions that give them a salary. To get you to sup­port them finan­cial­ly, they need to under­mine your trust in your fam­i­ly doc­tor. For that rea­son, they attack the sin­gle most impor­tant ser­vice that con­ven­tion­al med­i­cine can pro­vide: immu­niza­tion against seri­ous dis­eases that do not respond well to any avail­able treat­ment. I explain the his­to­ry and moti­va­tions of the anti­vac­ci­na­tion move­ment in detail in my book No More Measles! The Truth About Vac­cines and Your Health.

 

Predators Aren’t the Top of the Food Chain, Their Parasites Are!

Lots of peo­ple tell me that human beings are sup­posed to be preda­tors and carnivores—that we’re sup­posed to be the top of the food chain! This makes human beings sound real­ly impor­tant and spe­cial, doesn’t it? There’s only one small prob­lem with this idea. The apex preda­tor of an ecosys­tem (i.e., a preda­tor that has no preda­tors of its own) is not real­ly at the top of its food chain. The crea­tures at the very tip­py top of the food chain are the par­a­sites that feed on the apex preda­tor. Here’s a link to an arti­cle that describes the pro­to­zoa, worms, and mites that were found in the drop­pings of wild lions in Tan­za­nia. These par­a­sites are the sort of crea­tures I think of when some­one men­tions the top of the food chain! Not so glam­orous, is it?

The idea that human beings should be at the top of the food chain and there­fore should or must kill and eat oth­er ani­mals to main­tain some sort of spe­cial sta­tus sounds to me like a weird and dan­ger­ous form of nar­cis­sism. It asserts that we are spe­cial and enti­tled to spe­cial priv­i­leges, but it bases that exalt­ed sta­tus on prim­i­tive ani­mal­is­tic behav­iors, not on the abil­i­ties and accom­plish­ments that are unique to our species. We’re the only known species in the uni­verse with whom it is even the­o­ret­i­cal­ly pos­si­ble to hold an intel­li­gent con­ver­sa­tion. We’re the only ones who can con­tem­plate and delib­er­ate­ly shape our own des­tiny. Those unique­ly human gifts make us spe­cial, even if we eat the low-fat plant-based foods that are good for our health instead of the fat­ty, meaty foods that are the major cause of death and dis­abil­i­ty in the Unit­ed States.

The Cause of the Breast Cancer Epidemic

Octo­ber is Breast Can­cer Aware­ness Month, and we’re inun­dat­ed with pink rib­bons, urg­ing us to be “aware” of breast can­cer and encour­ag­ing women to get mam­mo­grams. Per­son­al­ly, I didn’t need to be made aware of breast can­cer. It dev­as­tat­ed my fam­i­ly about 40 years ago, when my father’s eldest sis­ter, who was more like a moth­er to him, died of it after a long and hor­ri­ble ill­ness. About 10 years lat­er, anoth­er of his sis­ters began her long and painful strug­gle against the dis­ease that even­tu­al­ly claimed her life. Recent­ly, some of my friends have under­gone mas­tec­tomies. It would hard for me to be more aware that breast can­cer exists.

What infu­ri­ates me is that the attempts to raise “aware­ness” of breast can­cer sys­tem­at­i­cal­ly fail to tell women the sin­gle most impor­tant thing they can do to reduce their risk of dying of breast can­cer: cor­rect their diet. Instead, it urges them to do some­thing that might have lit­tle or no effect on their sur­vival: get an annu­al mam­mo­gram. It would be as if the efforts to edu­cate the pub­lic about lung can­cer all failed to men­tion cig­a­rettes but instead just urged every­one in the pop­u­la­tion to get an annu­al chest x-ray.

By the mid 20th cen­tu­ry, Euro­pean and U.S.-trained doc­tors who were prac­tic­ing in Africa and Asia real­ized that breast can­cer is rare to prac­ti­cal­ly nonex­is­tent in pop­u­la­tions that eat a low-fat, plant-based diet. By the end of the 20th cen­tu­ry, epi­demi­ol­o­gists knew that breast can­cer mor­tal­i­ty is strong­ly linked to the amount of ani­mal pro­tein that a pop­u­la­tion con­sumes. The more ani­mal pro­tein a pop­u­la­tion eats, the more like­ly its women are to die of breast can­cer. Veg­eta­bles had the oppo­site effect. The more veg­eta­bles a pop­u­la­tion eats, the less like­ly their women are to die of breast can­cer.

The data on breast can­cer mor­tal­i­ty boil down to a sim­ple les­son: if women ate low-fat plant foods instead of a fat­ty, ani­mal-based diet (includ­ing meat, milk, fish and eggs), they could dra­mat­i­cal­ly reduce their risk of dying of breast cancer–and colon can­cer, and heart dis­ease, and dia­betes, and autoim­mune dis­ease, etc. etc. etc. They’d even reduce their risk of get­ting vari­cose veins! Even if a woman already has can­cer, a switch to a low-fat, plant-based diet might improve her chances of sur­vival.

Instead of being giv­en advice that will actu­al­ly pre­vent breast can­cer, women in the Unit­ed States are urged to get a rou­tine annu­al mam­mo­gram. Unfor­tu­nate­ly, mam­mo­grams do absolute­ly noth­ing to pre­vent breast can­cer, and they may do lit­tle or noth­ing to keep most women from dying of breast can­cer. Worse yet, rou­tine mam­mog­ra­phy may lead to unnec­es­sary sur­gi­cal pro­ce­dures in women who don’t have can­cer.

The deci­sion of who should under­go mam­mog­ra­phy and when they should under­go it is com­pli­cat­ed. The next time you hear some­one urg­ing all women of a cer­tain age to have annu­al screen­ing mam­mo­grams, con­sid­er the fol­low­ing:

  • Mam­mog­ra­phy involves expos­ing the breast to x-rays and thus might actu­al­ly cause some can­cers. The x-rays could pose a par­tic­u­lar prob­lem for young women and women with a genet­ic pre­dis­po­si­tion to breast can­cer.
  • The breast is typ­i­cal­ly squashed flat while the mam­mo­gram is being tak­en. Not only does this com­pres­sion hurt, it could break up a pre­can­cer­ous lesion, turn­ing it into a dead­ly inva­sive can­cer.
  • Mam­mog­ra­phy is less use­ful for find­ing can­cers in the breasts of pre­menopausal women because their breast tis­sue is denser.
  • By the time a can­cer is large enough to be seen by mam­mog­ra­phy, it may already have spread.
  • Mam­mo­grams often cause false alarms by bring­ing atten­tion to harm­less benign lesions, as well as to can­cer­ous tumors that would have gone away by them­selves if left untreat­ed. Unfor­tu­nate­ly, the woman has to under­go the pain and expense and risk of a sur­gi­cal biop­sy to find out whether the lesion is benign or not, and she’ll nev­er know whether her body’s immune sys­tem would have destroyed a tumor before it caused any prob­lems.

Many stud­ies have failed to show that rou­tine screen­ing mam­mog­ra­phy pro­vides any ben­e­fit in terms of sav­ing lives. As a result, some experts argue that it is a point­less and cru­el waste of med­ical resources to urge all women to have annu­al screen­ing mam­mog­ra­phy. Even the val­ue of rou­tine breast self-exam­i­na­tion has been ques­tioned. Nev­er­the­less, mam­mog­ra­phy could still be valu­able for many indi­vid­ual patients, depend­ing on the sit­u­a­tion. The real ques­tion is when and how often and for whom it should be used.

Pho­to by maf04

Host a Screening of Forks Over Knives

If you haven’t seen it already, watch the doc­u­men­tary Forks Over Knives. You can watch it instant­ly on Net­flix if you are a Net­flix sub­scriber. You can also order the DVD at www.forksoverknives.com and host your own screen­ing.

The doc­u­men­tary includes this juicy quote from T. Col­in Camp­bell, PhD, who is one of the world’s most promi­nent nutri­tion sci­en­tists:

I know of noth­ing else in med­i­cine that can come close to what a plant-based diet can do. I can say this with a great deal of con­fi­dence, that our nation­al author­i­ties are sim­ply exclud­ing this con­cept of nutri­tion from the debate, in the dis­cus­sion, in order to pro­tect the sta­tus quo. In the­o­ry, if every­one were to adopt this, I real­ly believe that we could cut health­care costs by 70% to 80%.

How to Cook Dried Beans, Lentils, and Peas

It’s easy to get enough pro­tein from a plant-based diet, even if you don’t eat legumes (beans, lentils, and peas). In fact, the Pythagore­ans of ancient Greece thrived on a pure­ly plant-based diet, even though they refused for philo­soph­i­cal rea­sons to eat beans. Nev­er­the­less, beans are cheap, tasty, and nutri­tious and play an impor­tant part in many tra­di­tion­al cuisines. The only prob­lem is that dried beans can be hard to cook. I’ve tried sev­er­al dif­fer­ent meth­ods and have had good luck with all of them.

If you want to use dried beans instead of canned beans, you’re going to have to think ahead and allow time for the beans to soak and cook. I usu­al­ly soak them overnight and then cook them the fol­low­ing day. I often cook a huge pot of beans and then use the cooked beans in var­i­ous recipes over the next few days. For exam­ple, I mash some of the beans with a lit­tle bit of chili pow­der and salt and use them as sand­wich fill­ing. Or I can add chick peas or oth­er beans to a sal­ad.

If you want to cook chick peas, use soft water, such as rain­wa­ter. If you use hard water, the chick peas will nev­er soft­en! We have real­ly hard water, so I use water from a reverse osmo­sis fil­ter when I cook chick peas. I can use reg­u­lar tap water for oth­er kinds of beans.

The first step in cook­ing dried beans is to sort through them to make sure that no peb­bles are hid­ing among the beans. I sim­ply pour them into my hand a few at a time and then toss them into a bowl. For small beans like lentils, I scat­ter them a hand­ful at a time onto a white plate and pick through them before toss­ing them into the bowl. You can cook lentils and peas right away. I soak larg­er beans overnight before cook­ing them.

I use any of sev­er­al meth­ods to cook beans. The tra­di­tion­al method used by the Native Amer­i­cans of New Eng­land was to put the beans and water and maybe some maple syrup in a crock­ery pot and leave it by the fire. The Puri­tans of New Eng­land adopt­ed a sim­i­lar prac­tice because they strict­ly observed the Sab­bath, which meant that they couldn’t work on Sun­days. They real­ized that they could have a hot, cooked meal on Sun­days if they left a pot of beans and a crock­ery of coarse bread dough in a hot brick oven on Sat­ur­day night. The fact that near­ly every­one ate beans on Sun­days is why Boston is called Bean Town.

With the rise of the sug­ar plan­ta­tions in the Caribbean, and the result­ing Tri­an­gle Trade involv­ing Boston, Bosto­ni­ans start­ed using molasses and brown sug­ar to sweet­en their Boston baked beans and their Boston brown bread. This struck me as deeply hyp­o­crit­i­cal. It meant that peo­ple turned a blind eye to human traf­fick­ing and slav­ery but frowned on free peo­ple doing house­hold chores on Sun­days. As Hait­ian-Amer­i­can author Solar Cook­ers Inter­na­tion­al.

In win­ter and dur­ing cloudy weath­er, I use a pres­sure cook­er to cook beans. My Presto® pres­sure cook­er is about 20 years old. Two years ago, I bought it some new gas­kets and a new han­dle for the lid. Pres­sure cook­ers are great! They save time and ener­gy. Here’s a chart that gives the pres­sure cook­er cook­ing times for var­i­ous kinds of beans. Pres­sure cook­ers are par­tic­u­lar­ly use­ful for peo­ple who live at high ele­va­tions, such as in the Rocky Moun­tains. That’s because water boils at a low­er tem­per­a­ture if the air pres­sure is low.

Pho­to by WhyKen­Fo­tos