Exercise Lowers Insulin for Longevity

January 24th, 2012 by drmaurer No comments »

A diet low in carbohydrates seems to be in the driver’s seat for curing insulin resistance, but vigorous exercise is the copilot in the front seat too.

Reduce carbohydrates in the diet and you will certainly reduce insulin secretion from the pancreas.  But the body also needs to be “sensitive” to insulin, which means that the muscles and tissues of the body respond to small amounts of insulin and still receive the signal to transport glucose and amino acids from the bloodstream into the cells for repair and energy production.  The lower output and more efficient insulin response is what helps an athlete run a lean and healthy body, with optimal physical performance and longevity.

Remember those rat studies with reduced food intake?   Those mice that were calorically deprived lived longer.  This headline led to a plethora of speculation and trial as people in their later years began eating “like birds” in the hope that they end up like old rats.  It turns out that the reduction in insulin levels may be a key mechanism toward the extended lifespan.  Low insulin levels have been associated with people who live that extend to over 90 years.  This mechanism means that the net insulin sensitivity may be the key to living our best and longest.

Vigorous physical activity improves insulin sensitivity, despite the fact that it raises the need for calories to sustain the exercise level.  You will notice that the word “vigorous”.  In one study that specifically looked at insulin sensitivity, people with elevated fasting blood sugars were given mild moderate and intense weight routines.  Blood glucose improved in all groups.  But significantly greater insulin sensitivity was found in the highest intensity exercisers who did four sets of eight upper and lower body strength exercises at high intensity, the participants did less than 10 repetitions of each exercise.

Many studies that have shown the benefits of weight and strength training are eroding the faith we used to have in the benefits of aerobic exercise.  Aerobic versus non-aerobic exercise is not an either-or.  Maintaining a well-conditioned heart through aerobic exercise is exceptionally healthful, but benefits fall short if that aerobic exercise does not vary intensity and does not push the muscles to “full contraction”, like strength training can do.  Mix it up.  Assure you have a couple times per week at least where you “go until you can’t and rest until you can”, and finish an aerobic workout with some calisthenics that physically work body to build a more insulin sensitive muscle tone.

References

  • Bartke A. Insulin and aging. Cell Cycle, Nov 1, 2008; 7 (21): 3338-3343.
  • Black LE, et al. Effects of intensity and volume on insulin sensitivity during acute bouts of resistance training. Journal of Strength and Conditioning Research, 2010; 24 (4): 1109–1116.
  • Masternak MM, et al. Insulin sensitivity as a key mediator of growth hormone actions on longevity. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, May, 2009; 64 (5): 516-521.
  • Rozing MP, et al. Human insulin/IGF-1 and familial longevity at middle age. Aging, Jul 24, 2009; 1 (8): 714-722.
  • Wijsman CA, et al. Familial longevity is marked by enhanced insulin sensitivity. Aging Cell, Feb; 2011; 10 (1): 114-121.

Do You Need to Eat Purple Cabbage? Test Your Uric Acid to Find Out.

January 23rd, 2012 by drmaurer No comments »

Blood tests make up a large part of how we understand the inner workings and inner metabolism of a person.  I have recently been attentive to uric acid.  In my practice the core fasting tests include:

  • Insulin
  • TG : HDL
  • Uric Acid
  • A1C
  • Fasting Glucose

The test results show us which way the wind and currents are moving.  Much of this is our inner workings and genetics, and if we don’t know what is going on we won’t even point the boat the right way.  It’s your boat.  You have to control the sails and the rudder, in this case, diet and exercise.

Uric acid, when very high, can result in gouty arthritis. When only slightly high, it can still be the cause of high blood pressure.  I have seen a number of patients recently who have had gout or have a strong family history of gout and have high blood levels of uric acid.

It is known that cherries can help lower uric acid levels, but the sugars in the cherries, high in natural fructose, might aggravate the metabolic problem that contributes to high uric acid. Luckily the same purple component that helps lower uric acid levels is found in purple cabbage, a low carbohydrate food that can be eaten daily.

Look for sauerkraut and coleslaw made from purple cabbage, or simply roast the cabbage with other vegetables on a regular basis.  Foods high in purines might also raise uric acid; this includes common staple foods like beans and oatmeal.

If one has high uric acid:

  • Limit the high purine foods: Beans, oatmeal, organ meats, mushrooms and yeast, including yeasted bread and beer
  • Add purple cabbage foods
  • Add supplemental vitamin C: perhaps up to 3000 mg per day.
  • Assure adequate water intake, especially between any cups of coffee or caffeine drinks.

 

Paula Deen Becomes a Pill Pusher for Big Pharma

January 18th, 2012 by drmaurer No comments »

I am disgusted by the recent headline I saw in today’s paper under the photo of Paula Deen, “I don’t blame myself” was her saccharine response to her admittance of having type 2 diabetes.  The celebrity chef was known for putting a bacon cheeseburger not on a bun, but sandwiched between two glazed doughnuts.  I have since seen the news crew focus on her use of fatty meats and the bacon as though it were the problem.  Did anyone happen to notice that she stuck a burger between 2 DOUGHNUTS!?

“I don’t blame myself”…well then who does she blame?  Those of us that have the type 2 diabetes trait and family history have to admit to having it.  We have control, through our diet and exercise, of whether it will express as high blood sugar.  Exercise daily with mixed aerobic/anaerobic and restrict carbohydrates as in the FatBack Diet.  If you get lazy and eat 2 doughnuts with your burger and don’t exercise, just WHO do you blame when your blood sugar goes up?

The insult of the Paula Deen story is not just that she has someone else’s diabetes, but that she is now marketing a drug that raises insulin.  Yes this drug will lower her blood glucose, but it will raise her triglyceride, result in weight gain, cause more severe insulin resistance in the future, raise her blood pressure and raise her risk of cancer.  Her attitude that her Diabetes expression is someone else’s problem is in keeping with the drug companies’ interest in telling us that the cure is in a pill.

Her diabetes could have been used as a moment to teach people about cooking more vegetables and following a carbohydrate restriction.  Imagine that bacon cheeseburger on a bed of rocket salad with roasted Brussels sprouts, braised fennel and sautéed crispy mushrooms and scallions.  The cure was right under her nose, but so was a million dollar signing bonus with Novo Nordisk Pharmaceuticals.  She will have a sicker audience because of her choice of the latter.

Moderate water intake can reduce the risk of diabetes

January 18th, 2012 by drmaurer No comments »

Adequate hydration might help reduce the expression of diabetes.  This study was performed in France and published in Diabetes Care in 2011.  Those that drank the most water were a third less likely to develop diabetes of over the 9-year period.  Dehydration signals the kidneys to raise a hormone, vasopressin, to improve water retention.  This hormone also causes sugar to release from the liver, raising the blood sugar.

What’s impressive about this study?  Those that were in the lower diabetes risk group were found to drink between a pint and a quart of water daily.  This is only 2-4 glasses of water!

Exercise and the intake of coffee and alcohol can cause greater dehydration, therefore figure on 3-4 glasses of water at a minimum and go up from there as needed.

Medical news this week: Statins can cause diabetes and aspirin causes more harm than help

January 11th, 2012 by drmaurer No comments »

Those people who are at risk of developing diabetes should look toward prevention.  Maybe that is why you are reading the FatBack Diet blog, if so, thanks.  Just don’t look toward you prescribing doctor to provide longevity and wellness.  Two of the most common drug recommendations in America actually cause more harm than good.

If you take statins, you have increased your risk of developing diabetes [January 9, 2012 in the Archives of Internal Medicine].  This study showed a risk of developing diabetes that is significantly higher than previously thought.  In the postmenopausal women studied, there was about a 48% higher risk of diabetes compared with those not given statin medication, controlling for all other significant factors.

Aspirin is found to increase the risk of “non-trivial” bleeding events at a rate that surpasses the risk of non-fatal heart attacks [January 9, 2012 in the Archives of Internal Medicine].  In this study it means that 120 people need to take aspirin daily for nearly a decade before there is a chance that one has been helped.  But one in 78 people will have a significant bleed, like a hemorrhagic stroke or gastric bleed that causes hospitalization or death.

Take home message…Do not go looking for preventive wellness care from your doctors’ prescription pad.  Maybe you are at a significantly increased risk of getting a thrombolytic (clot) stroke and an aspirin can help, but you raise the risk of a hemorrhagic stroke, so how good is your crystal ball.  It turns out that most prescribing doctors have a pretty cruddy one, because the people in the above two studies had the drugs recommended by their doctors.

Proper wellness blood tests and an assessment with a qualified naturopathic doctor or other nutritionally oriented provider will be your step toward true longevity and health.  Changes that occur while following the FatBack diet are shown to decrease stroke and heart attack risk, oh, and by the way, you’ll prevents diabetes too.

Be well…for a long time to come,

Richard Maurer, ND

 

Genetics and Type 2 Diabetes/ Prediabetes/ Metabolic Syndrome/ Insulin Resistance

January 6th, 2012 by drmaurer No comments »

Since 1992, the human genome has been shedding light on genetic association with diseases.  Some have been known for a long time.  Down’s Syndrome is known as trisomy 21.  Down’s occurs if there is a specific mutation on a specific location of a specific gene.  The hope was to find the genes for common chronic conditions, but type 2 diabetes is like many chronic conditions.  It turns out that what we have called a disease is probably a preferred survival trait over time, so instead of a mutational “mistake” in our body, type 2 diabetes is a tremendous advantage.  Most places on the planet have presented with a “protective” insulin resistance gene mutation, allowing those affected to survive periods of caloric restriction.  Because most cultures over time have needed this mutation, the specific location of the insulin resistance gene isn’t so “specific”.   As of 2010, there were 38 genetic locations associated with insulin resistance.  This number continues to rise as new associations are made.

The geek in me has to list these genes [from the OMIM.org]   Cytogenetic locations of Insulin Resistance: 2q24.1 , 2q31.3 , 2q36.3 , 3p25.2 , 3q27.2 , 4p16.1 , 5q34-q35.2 , 6p22.3 , 6p21.31 , 6q23.2 , 7p13 , 7q32.1 , 8q24.11 , 10q25.2-q25.3 , 11p15.1 , 11p15.1 , 11p11.2 , 12q24.31 , 13q12.2 , 13q34 , 15q21.3 , 17p13.1 , 17q12 , 17q25.3 , 19p13.2 , 19q13.2 , 20q12-q13.1 , 20q13.12 , 20q13.13.

So what does this mean?  It means we should all cringe when we see the annual headline in the sensational media stream, “New Gene Found that Causes Type 2 Diabetes.”  Diabetes is not a genetic disease.  It is not some genetic defect that requires correction with medication.  It is a planned and advantageous trait that is more common in people than having blue eyes.  So we need to embrace our historically relevant genetics and live in accordance with it.  The disease is the diet and lifestyle that we have adopted, with excess calories, no period of starvation and minimal activity.  Our cure is not to be found in the halls of some genetics lab, it is in the FatBack Diet and appropriate carbohydrate restriction relative to your blood tests and body fat caliper findings.  Our cure also requires daily strenuous mixed exercise, and eating (only) two to three times per day.

Enjoy and I hope I can help people see their type 2 diabetes as something that can be cured in the kitchen and with gym shoes.

Enjoy,

Richard Maurer, ND

Peanuts and Soybeans, Why They are Triggers for Allergies and Digestive Illness

January 5th, 2012 by drmaurer No comments »

A word about soybeans and peanuts: These two legumes have been amongst the most processed and misused foods in our convenience food culture.  I have read claims that soy is a “medical food” with all sorts of healthful benefits, and I have also read claims that soy products are causing thyroid disease and may aggravate other hormonal conditions.

Soy protein isolate and textured vegetable protein are foods that did not exist in the human diet until a generation ago.  The resultant processed food-stuff challenges our human digestion.  For all prior generations, soybeans were boiled, not extracted out to be soy flour and soy protein.  I suspect the growing incidence of soy protein allergy are a result our inability to digest the food as processed protein.

Peanut went through a similar process change.  Peanuts were always boiled in their native cuisine.  Boiled and salted fresh in their pods, the peanuts were eaten like the popular Japanese dish edamame.  Only in the 1930’s did Skippy Corporation patent and begin the process of roasting the peanuts rather than boiling them to make peanut butter.  This caused an emulsification of the fats that allowed the product to be more spreadable.  Just add sugar and you have the modern way peanuts are eaten.  While spread-ability meets the needs of convenience; nutrition and digestibility were compromised.  Like soybeans and other legumes, skipping the process of boiling the peanut leaves the indigestible outer skin on the legume, causing stomach and digestive problems, poor nutrition and allergies.

Traditional Ways to eat these legumes is practiced in culinary settings, with chefs looking for fresh peanuts in the pod, and soybeans sautéed with other vegetables.  Soy protein and roasted peanut butter should be avoided like any other newly introduced processed, convenience food.  I do recommend avoiding peanut butter and soy nuts/soy protein isolate and other processed soy.  But rather than making soy and peanut into the latest food villain, we are better served to re-visit traditional, time-proven ways these foods can be part of our diet and cuisine.

 

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Five Metabolic Truths in the FatBack Diet: Timing, Variety, Nuts, Dietary Fats, Whole Grains

January 3rd, 2012 by drmaurer No comments »

Five Metabolic Truths in the FatBack Diet: Timing, Variety, Nuts, Dietary Fats, Whole Grains

-Dr Richard Maurer

  1. When you eat you larger meal is not inherently important.  Many studies have been done to try to answer whether a larger meal in the morning or midday versus nighttime might result in better weight management.  For that matter overnight eating and frequent snacking has also been studied.  The conclusion upon meta-analysis is a resounding…it doesn’t matter.  Timing is inconsequential when compared with:
  • Total calories consumed during a 24-hour period
  • Total energy expenditure through exercise and activities

Separate of weight and metabolism, studies that compare those who eat versus those who skip breakfast versus show that breakfast eaters are more likely to perform better on tests, have more stable moods and carry less “bad” habits such as smoking.  Personally, I take little time at lunch and being on the go in the morning means I eat a small breakfast – only about 400 calories, and a moderate lunch – perhaps 500-600 calories.  Which means my dinner needs to be at least 1200 calories.  The end of the day is the more relaxed time of day for my schedule, therefore this time is more conducive to eating a larger meal.

  1. Nuts are not high in protein: All tree nuts and seeds are less than 10% protein.  They offer some omega-6  and omega-3 fat, but not significant protein.  I suspect this ubiquitous mistake is due to the marketing of peanuts as a nut.  Peanuts are legumes, and the legumes as a group offer about a third of their calories as protein.  Another one-third to two-thirds of the calories, depending upon the kind of legume, comes from carbohydrate.  So for a starchy carbohydrate, legumes offer some protein, but they too are not high protein.  Caution about legumes: Our digestive tract cannot breakdown the skin of a legume, this results in inadequate digestion and bloating as well as elevating the risk of allergies.  So legumes require proper traditional soaking and cooking techniques.  Modern processing methods such as roasting peanuts for peanut butter and isolating soy protein create poorly digested allergenic harmful foods.

 

  1. Variety may not be very important.  An interesting study in Britain years back compared those that ate a variety of foods versus a group that ate the same basic food choices.  Less variety was associated with less caloric intake and surprisingly a subjective sense of satiety that surpassed the variety group.  Essentially they were more satisfied with less.  Apparently, when our senses are hit with something new, subconsciously we say “Whoa, let’s get that again…one more time…and again…”  This same phenomenon is found when people drink alcohol.  Those that switched drinks in a night drank more than they thought they drank.  And those that stuck with the same drink reported their quantity more accurately and overall drank less.  Personally, I eat the same thing for breakfast about 350 days per year, and I do not feel like I am missing out.

 

  1. If you are hungry between meals, it does not mean you lack protein.  In fact, usually it is the lack of fat in the prior meal.  Fats, along with soluble fiber offer a slower emptying time of the stomach and a more gradual release of calories from the meal.  A serving of creamed spinach is a pretty quick way to calm your hunger after a meal.  Lack of adequate protein may be associated with food cravings.  In studies related to resolving food cravings, one of the few interventions that help is the addition of whey protein into the diet.  This easily assimilated mix of essential proteins probably quiets the part of the brain that signals inadequate protein in the bloodstream.  Assuring a dense protein serving at nearly every meal keeps cravings to a minimum.  This doesn’t need to be a lot of food; even one egg can be enough for many people.

 

  1. Whole wheat and high fiber grain products have the same amount of carb as those without the fiber and they are absorbed at about the same rate.  So if one is to limit carbs in the diet, whole grain choices don’t help.  The husk and skin of grains is mostly insoluble fiber, the inside of the grain contains soluble fiber.  The addition of insoluble fiber offers little to slow the absorption of nutrients compared to soluble fiber.   For example, white rice has 44 grams of carb per cup and 0.6 gram of soluble fiber.  Brown rice has 44 grams of carb per cup with 3.5 grams of fiber, 0.6 as soluble and 2.9 as insoluble fiber.  The difference in total carbohydrate white rice nets out at 40.5 while white nets out at 43.4, you can see the difference is inconsequential.  So a meal of fibrous vegetables and buttered fish with a little white rice (cooked in broth) is a fine low carb meal, even without the whole grain.

Enjoy and be well,

Dr. Richard Maurer

The FatBack Diet and the GAPS Diet, Dr Maurer’s Take.

January 2nd, 2012 by drmaurer No comments »

Natasha Campbell McBride offers the thesis that chemical by-products from our digestion of certain challenging foods, such as gluten, and the response from ones’ immune system to various digestive compounds contribute to and can cause psychological conditions, childhood developmental conditions and numerous other non-gastrointestinal disease.

I have been to several conferences where Natasha speaks on her GAPS program and for every three good points she makes she drops a bomb of pseudoscience into the mix.  Because of this, I cannot swallow the GAPS theory in entirety.  It has parts that are well-founded and like many “systems”, it will work for many people, and often for reasons other than what are explained.

What are the parts of the GAPS diet that ring true?

  1. A diet rich in quality animal fats will help protect the gastrointestinal lining from becoming weakened or leaky.  Much of the gastrointestinal mucosa, which is where our protective probiotic flora thrives and where our first line of immune defense works, is made of saturated fat.  And this layer gets partially removed every time we eat, especially as we eat fibrous foods.  So dietarily we must include butter fat, poultry fat, fatty fish, and other stable animal fats in the diet.  Fat soluble vitamins such as A, D and K also need to be adequately represented in our diet and if needed, supplementation.
  2. Fermented and cultured foods help regulate the immune system of the gut.  Without them, the immune system of the gut will be at risk of over-reacting.  This sets up inflammatory disease, such as Crohn’s and Colitis and Allergies.  Quality, proven probiotic supplements are helpful in these conditions but a diet rich in traditionally cultured foods is a basis of health.
  3. Much of the mucosal gut layer gets sloughed off when we eat.  These mucosal fats and proteins need to be replaced daily.  So our diet needs quality proteins and fats at each meal.  A vegetarian diet does not contain all the macro and micro nutrition required for this daily task.  Therefore a diet rich in quality traditional protein-rich foods is essential.  This does NOT include processed new-fangled foods like peanut butter and soy protein powder.  Broth has tons of nutrition (It is pure alkaline nutrition – loaded with minerals) and no fiber to get in the way of the absorption.  Therefore, bone broth is probably the most gut-restorative food to include in the diet.
  4. Some foods that are evolutionarily new on the block such as gluten grains [wheat, rye, barley] cause certain compounds to be formed that alter the psychological state and function of our body.  These foods best avoided in certain people, not just the those with celiac disease
  5. Excess sugars cause problems.  Period.  This is hard to disagree with, and whether the author of the moment is claiming theories of yeast overgrowth in the gut, or effect of fructose digestion on the liver, or insulin resistance, the conclusion is the same.  Sugars need to be reduced in most if not all modern peoples’ diets.  Some more strictly than others.

I would add that people should not eat more than three times per day.  The 4-6 hours between meals allows the gut to recover and prepare for the next digestive feat.  Whether the GAPS principles, Specific Carbohydrate Diet, Body Ecology Diet, or my FatBack Diet principles, each author points to similar end guidelines.

Enjoy and be well,

Dr. Maurer

Type 2 Diabetes is not a disease

December 12th, 2011 by drmaurer No comments »

Type 2 diabetes is not well treated as a disease.  Because it is not something one HAS.  It is instead something one IS.  The metabolic aciivity in the body is doing everything right, it is our diet and lifestlyles that are the disease.  So let’s beging the path to seeing diabetes as a wonderful expressoin of our survival and find a way to live a long and strong life within our metabolism of survival.

http://www.youtube.com/watch?v=_AG5FZO_I5A&context=C2f51eADOEgsToPDskIZ99VWLcv55Jnn_qQWOWW_