Not that I should luxuriate in writing blogs while I am finishing my diabetes book, but to call attention to the problems with wheat – on this occasion I just have to do it.
Since this is my big theme presently, let me roll up the whole gluten conundrum from the diabetic side: Ninety percent of people with diabetes type II are overweight; ten percent are not. Now – what gives the ten percent their diabetes?
Genes, of course. But genes account only for part of the puzzle. Most slim diabetics have either type I diabetes (which I will not discuss here), or they have gluten intolerance. Disclosure: I am one of those ten percent, and while I don’t yet have full-blown diabetes with all the dismal consequences down the road like blindness, kidney failure, amputations, neurological damage, my number always hover at the upper border of normal or the low border of diabetes. For somebody who has brittle diabetes and ends in the hospital frequently, this seems a good place to be, and sure it is. BUT: By the time people are diagnosed with diabetes, a good third already shows sign of end-organ failure. Which means: They really already have advanced disease. I don’t want to wait doing nothing and closing my eyes.
So, what do I do? I move, for starters. I don’t go to the gym, but I work in the garden, play my cello, go for a walk after dinner with my husband, and do tiny exercises every time I get up from my chair during my long writing sessions (aaah – writing a book about health is not such a healthy thing, after all).
And I eat healthily. Fresh vegetables, fresh herbs, some fish, much less meat (but meat I do eat – and recommend), no dairy, no sugar, no sweeteners either, no trans-fats, and basically, nothing processed.
But back to gluten. We pray for our daily bread – and are not aware how recent the “daily bread” was invented – not longer than five to ten thousand years. Which is nothing in terms of evolution and our genes. Actually, our “daily bread” is around not much longer than monotheism – the belief in a single, singular god. I find that interesting: When we were hunter and gatherers, eating and nibbling and plucking from Nature wherever we went, we had multiple gods – the ones that were hidden in the groves, in the deep lakes, in the skies – and everything was whispering to us: Holy, holy, holy.
Then agriculture was invented with cattle and sheep husbandry, and we learned to sow and to reap, and suddenly there was that one stern god over us, telling to adhere to his rules – one obviously needs rules and timetables and schedules and order to be a farmer.
Forward a few thousand years to Mr. Kellogg, who gave us our breakfast cornflakes, and modern scientists who gave as bigger kernels of wheat, and then all the abundance that came with industrialization and prosperity – and here comes the modern American wave of obesity and diabetes. Where for millions of years always was scarcity – and that is what our bodies were adapted to for millions of years – now we can get the whopping calories of a burger for one dollar. Without to move out into the woods and hunt and gather.
If gluten is at the root of those ten percent of slim diabetics – so what! you exclaim, because you are fighting the pounds for most of your life. Gluten makes a few of us very sick – with celiac disease. Gluten makes a lot of us fat, with sickness down the road from the excess pounds.
Celiacs have no immune tolerance for gluten; they might get diarrhea, skin rashes, bloating, and all kinds of weird symptoms – including neurologic and psychiatric. Half of the symptoms are not showing in the belly, which is one reason gluten intolerance is still one of the widely under-diagnosed disease – even that the last ten years has turned the tide a bit.
The funny thing is: Wheat does not want to be eaten. Like basically all nuts and seeds, the wheat grain contains a family of compounds called lectins that are there to protect the grain from being eaten. The wheat plant has no interest, so to speak, to be gobbled up and extinguished. On the other hand, from the wheat’s point of view, of course, it is extremely advantageous that farmers everywhere now growing this seed that originally had a very narrow distribution, namely the Fertile Crescent of Mesopotamia. Somehow we managed to spread it more or less worldwide – or did the plant entice us to do its business?
Not sure. But nuts and seeds contain lectins that hinder digestion and make people sick with arthritis, depression, heart disease, cancer, diabetes, and so on – the celiac who runs to the bathroom ten times a day is only the tip of the iceberg. And it shows the wisdom of our bodies: To get rid as fast as possible of a toxic substance.
Wheat is addictive – it contains morphine-like substances that play with your brain and your longings just as cocaine and heroin do. I always picture how the first farmers, sitting placidly and satisfied in their hovels, invited the last hunters who came in from another fruitless hunt for something to eat (the rise of agriculture happened parallel to the extinction from overhunting the very large ice-age mammals – they had bison the size of elephants, and deer like cows at that time. The rise of monotheism happened at the same time … did we feel guilty for the overhunting??). The hunters got their bowl of gruels or their flat breads; it must have seemed heaven to them. As they never got enough of it, they came back for more and more, until they one day decided to plough a piece of land, and settle down as farmers themselves.
So, if you want to get healthy and/or slim, you first have to break the wheat (and corn! And sugar! But those are other topics …) addiction. You don’t die of starvation, if you leave out bread and pizza and cakes and cookies and muffins. You just get healthier. The food to eat: Vegetables, vegetables, vegetables. And some brown rice, as rice does not seem so addictive as wheat. It just doesn’t taste so yummy, yummy that you want more and more of it.
In all of this, I haven’t even talked about what they do nowadays once the too-big, overinflated-by-starch wheat kernel is harvested: They mill it and grind it and take the good stuff out, namely the coarse outer layers that contains vitamins and ls . The make white flour from naturally brown flour, and because it is known that white flour contains nothing healthy and leads to deficiency diseases down the road, the “fortify” the flour with vitamins and iron.
Believe me, nothing is as well “fortified” as the original grain. I mean the really “original” grain which we cannot retrieve anymore because the first grains were so puny – not much more then a few hard nibs in your mouth while you were searching for the really belly-filling rabbit or root. If you want to do wheat at all (and if you are a celiac, you can’t have it ever again! Also not rye and barley; perhaps not even oats), at least stick to dinkel and kamut, some of the older grains. Not as old to go back to the dawn of times, but going back a few thousand years, to the first cultured strains. They contain more hulls and “waste”, less gluten and starch. You also can try sprouted breads where most of the gluten has been used up in the process of sprouting.
Our modern degenerative diseases have to do with mostly four culprits: Wheat, dairy, sugar, trans-fats. Our redemption lies in the plant world: vegetables, herbs, fruit. A few beans, a few nuts. Some fish. And occasionally … a rabbit. Read More
Blog: On Health. On Writing. On Life. On Everything.
Varicose Veins - Phlebitis - Thrombosis
July 29, 2011
Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.
Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.
Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?
Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.
Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:
1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon! Read More
Vegetarian? Vegan? Omnivore?
August 13, 2010
We had this before: I am not a vegetarian. Not because I don’t like animals or because I don’t care for the Earth. No, because I am a pragmatic person. I eat what my body needs.
If you ask me what my body needs, my standard answer is: vegetables, vegetables, vegetables. But we need more than vegetables. We need some fish, and occasionally even some meat. Some eggs will do, too.
Vegan or vegetarian food is a great way to cleanse the body after too many years of bad nutrition. People who have switched to vegetal food often remember how wonderful they felt that first month after the change - and therefore are reluctant ever to go back to meats. But after a month or two, deficiencies slowly set in.
As a doctor, I am familiar with vitamin B12 deficiency in vegetarians and vegans. It is a big problem. Because without vitamin B12 one gets anemia (low count of red blood cells) and dementia. The brain needs vitamin B12 to function. The sad fact is: If you are vitamin B12 deficient and replenish with that little red pill (or shots from your doctor), your anemia will vanish – but the brain damage is done: The marbles you have lost, you will not recover because dead brain cells don’t come back.
Vitamin B12 deficiency is a pretty good argument for a doctor not to be a rigid vegetarian. But for people who have not seen the effects of a tiny vitamin lacking, it means nothing.
So, here is another argument: We all know that the animal world is divided into two groups: herbivores and carnivores. The first eat greens exclusively, and the others are carnivores – predators that feast on other animals. And, sure enough, there is a third group, the omnivores; they eat everything that comes near their snouts, and pigs and humans are their most notorious members.
Come to think about it: A cow in the pasture munches on grass, solely, right? Wrong! A cow eats tons of insects, caterpillars, ants and butterflies - creeping, crawling creatures that land in their stomachs by accident – and are put to good use. I heard this story (first-hand!): A young, inexperienced farmer kept horses and sheep in one meadow together. After lambs were born in the spring, she found – to her horror – that a horse had smashed a baby lamb’s skull and licked up the brains. This happened not once but twice. She talked with an older farmer, who looked at her with pity and gave this piece of advice: “That’s why you don’t put out horses and sheep together in the pasture.”
Conversely, when a carnivore catches its prey – let’s say a cat a mouse – they eat it whole, including the stomach contents which contain grains. Lions are known for seeking out especially the stomachs of their victims.
This means that the concepts of strict herbivorism or carnivorism are myths: All creatures need both sources of nutrition (albeit in different proportions) – and seek out what they lack.
On our planet Earth, we get our energy from the sun, and from the plants that convert sun energy into sugar and starches – that is how we are nourished, by photosynthesis. Interestingly, carnivores usually don’t hunt other carnivores; they prefer herbivores. Why? Because the meat of herbivores has been grown on an herbal diet. Even carnivores cannot get too far away from the power of the sun in plant materials. And that, by the way, is the reason we usually don’t eat carnivorous cats and dogs but prefer rabbit, cows, game, lambs. And it might be one of the reasons in Jewish traditions for “forbidden” foods: pigs, shrimp, lobsters, and so on – animals that are carnivores or scavengers (eating dead meats). They are too far away from the green source of vitality. And so, by the way, are cattle that are fed corn: No greens strengthening their meat.
One last thought: So, which are the healthiest meats around? Americans seem to think that chicken and turkey are the best – as if chickens and turkey are not animals. From a nutritional standpoint, poultry are only marginally better than beef, for instance; they also contain unsavory animal fats, especially if they are grain-fed and from a commercial source. In a normal supermarket, the healthiest meat actually might be lamb. Lambs are born out in the meadows; they eat grass all their lives, they are not fed grains and are not treated with antibiotics, and so on. Then they are harvested.
Rule of thumb: Eat vegetarian three days a week, fish or eggs three days, meats one day. No deli – ever.
Sorry, if this is a bit graphic. But even if you close your eyes to not see it - the fact is that animals die so that we can eat; meat is not concocted in factories and comes shrink-wrapped and cooled. Let's make sure that the whole operation - from raising animals, keeping them, to slaughterhouses - is run as humanely as possible.
For every animal I prepare in my kitchen – including fish – I say a prayer. To thank this being that died so that my family can be fed. Read More