My hemoglobin A1c went from 6.1 to 5.1, in about two years.
Hemoglobin A1c is the most reliable way of measuring your blood sugar: Every time you put a sugar molecule in your mouth (not to mention a few spoons full!), this makes a permanent change on the outer surface of your red blood cells. Permanent means, it won’t go away until the red blood cell – also called erythrocyte – has reached its lifespan, about three months, and will die. Those surface changes can be measured in the lab.
A “normal” A1c used to be anything below 6.0 – which put me, some years ago, into diabetic territory. Then doctors reconvened and decided on a new “normal”: Now diabetes is diagnosed only when your A1c reaches 6.4 – which does not really make 6.0 to 6.3 “healthy”. Studies show that many people who have been just freshly diagnosed with diabetes, have already obvious damage of end-organs: Eyes (blindness), kidneys (kidney failure leading to dialysis), heart (coronary artery disease), genitals (impotence), vessels (stroke), and so on.
Natural medicine physicians consider normal between 4.0 and 5.0 – which puts me very close now to the ideal range, and makes me happy. – Why did conventional medicine upped the levels of “normal” sugars? I can only guess that the obesity and diabetes epidemic needed some curbing – if not in reality, then at least on paper …
How did I achieve this better sugar reading? By following my own advice, which I published last year in my diabetes book. In November, the publisher Rodale’s plans on bringing out a paperback version.
How much weight did I lose? None. Although most people lose weight “involuntarily” with my recommendations, I didn’t, because I didn’t need, having maintained the same weight since age twelve. In that way, I belong to the 10 to 15 percent of people of normal weight who have type 2 diabetes anyway (life isn’t fair!!). Those 10 to 15 percent nearly all have a gluten problem and shouldn’t eat much grains at all. Some few have type 1 diabetes, which is not related that much to diet and lifestyle.
Since the book came out readers have written me that they lost 50 plus pounds on my regimen, and that they even could stop – under medical supervision – their insulin. The Diabetes Cure works.
What does my Diabetes Cure entail? Lots of vegetables and good fats, some healthy meats, fish, eggs. Beans and garbanzos, and as many herbs as I can get my hands on. Plenty of sleep and very moderate movement – I have been un-athletic all my life, and will not change much at this age.
How can I maintain my motivation? Number one: Healthy foods are really tasty, so I usually don’t feel deprived. But I also looked into the reasons why we over-eat – and guess what: I found fifty reasons (and discuss them in my book)! It helps to know how the wrong gut bacteria fool you into craving bad foods. Read More
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Peasant Food
April 1, 2014
For a talk in New York this week I have been thinking about giving the kind of nutrition I am favoring a name – preferably a catchy name. We all have heard of the Paleo Diet, the South Beach Diet, the Zone Diet, and so on. What would I call my brand of eating right?
For starters, I would not call it a diet. Because it is not something you eat for a month, shed fifty pounds, and then go back to your normal dismal ways.
It occurred to me that I have invented nothing new. In fact, farmers all over the world eat like it. So let’s call it Peasant Food. I could also call it Gardener’s Food, or Farmers’ Market Food – because they all are served fresh and whole. But Peasant food it shall be.
This weekend, the New York Times Magazine ran an article about a very young man (he is all of fifteen!) who aspires to become a famous gourmet chef. I commend the young man for applying himself, instead of dawdling his time away. But as a physician I know that healthy people, healthy families and a healthy nation depend on daily fresh dinners cooked at home – not five-star restaurant fare (as delicious as that might be).
The young man is groomed as a future superstar in the kitchen. Same as we groom young athletes for a big career in football, baseball, basketball – instead of teaching all our school children the joy of movement that could offer them a life of health and physical gratification.
But back to the Peasant Food! What do farmers all over the world have in common that should make them our models for healthy cooking and eating?
Peasant Food is
• Fresh: Farmers eat what they find in their gardens, their fields, and growing wild nearby. They cook from scratch every single day. They are not too busy to bring a fresh meal on the table every day, and share it with family and friends. In fact, these shared meals are the highlight of every day.
• Local: Farmers don’t ship in food from California, or even other continents. They don’t use up much fossil fuels for shipping food across the country. They eat what they find. That is why the people in Mew Mexico eat different from the New-Englanders, and the Italians eat different from the Russians.
• Seasonal: Farmers eat what is growing and ripening right now. Should there be a monster harvest of zucchini, they deal with it by creating a variety of zucchini dishes, canning or drying some zucchini, and distributing the rest to friends and neighbors.
• No “superfoods” – just foods that are grown nearby, and made into so many dishes. Farmers make do with whatever is at hand – they have no preconceived notions of what the “best” food is.
• Not only raw: Farmers can’t subsist on salads alone – it would not give them the strength and nutrients they need in the fields. They might bake a piece of meat in the oven slowly all day, they throw a stew together, or a stir-fry, they cook soups with everything in sight. They cook.
• Not vegan/vegetarian: For a rare feast, they might grill a rabbit or a lamb over open fire. They eat meat, poultry, fish, crabs – and in some regions they are glad if they can find a squirrel to skin and roast. But farmers would not feed their livestock antibiotics for better growth rates – if agro-business wouldn’t push them.
• Easy to cook: Farmers don’t have time to concoct gourmet meals, and read one cookbook after the other. They follow old recipes. Their fare has to be easy – sometimes using slow-cooking that does not need further attention once the pot is filled and on the fire.
• Filling: Farmers wouldn’t dream of leaving out fats for slimming down – they need the energy fats provides. But they get in good fats: olive oil, coconut oil, butterfat.
• Tasty: Like everybody else, farmers want to eat something that tickles their palates. Fresh vegetables and healthy meats automatically taste good. Fresh herbs spruce up the taste. And adds nutrients like polyphenols. .
This is what I will call what I have been cooking every evening for so many years, making my family healthy and happy: Peasant food. Read More
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Diseases of the Gut Show at Your Skin
September 5, 2013
Less than a month ago, a young woman in her mid-twenties called me for “lumps in my armpit”. Now, that can be a thousand different things, not all easy to diagnose, some with dire prognosis. So, I told her I needed to see her.
She came, and the diagnosis needed one look only: Hidradenitis suppurativa. This poorly understood skin disease can’t be confused with any other: The patient has multiple red swellings and scars in the axilla, sometimes at other areas, too. You could describe it as boils in the armpit. They are painful and disfiguring. Conventional medicine describes them as inflamed sweat glands (which is what “hidradenitis” means, and suppurativa means “leaking pus”). They are similar to boils, pilonidal cysts, chronic abscesses, fistulas and different kinds of cysts. They might be exacerbated by hormones, excessive sweating, and overweight. Genetic factors clearly play a role – hidradenitis suppurativa is more common in females, and in people of Mediterranean and African-American descend.
Medicine might not understand the cause of it, but any layperson can see that hidradenitis suppurativa is a highly inflammatory disease. This young, pretty woman was slightly chubby – not badly, indeed. But I advised her to eat more vegetables with olive oil, and leave out all sugars and dairy products, as the most inflammatory foods. She also was bloated and had a family history of gluten problems, so I asked her to leave out gluten, too; at least for a few months. I also recommended anti-inflammatory fish oil and probiotics to help her poor, inflamed bowels to heal.
What happened to the young woman? - Within two weeks, she was dramatically better and had lost some pounds, and all the bloating. I never counsel to lose weight; I recommend a better diet, and the weight loss will follow automatically. She was happy about the result.
Unfortunately, then she went to a party where she indulged in all the wrong foods, including pizza, cheese, and sweets. The boils immediately recurred. I was not worried about the relapse: It only confirmed what she had learned: That what she eats has a beneficial or not so beneficial effect on her digestive system, and her health. – Her choice, really.
I know that at this age, all the young woman wants is to look good and be able to were a sleeveless top, and there is nothing wrong with that. But I will make a prognosis – even if I might not be around to see the result: If this twenty-five year old will be able to stick to her resolutions (at least most of the time), she one day will be vibrant fifty-year old. If not, she will go the way most people go in our society that adores foods that I’d call “non-foods” – and she will experience obesity, diabetes, cancer and the myriad of chronic diseases that seem to pop out of nowhere as we age. – Let’s see which way she chooses … Read More