View allAll Photos Tagged MetabolicHealth
porchetta sausage wrapped in pork belly, sauteed eatwell greens, wasabi potato puree, pork jus
Dinner with SaVanna Wanzer at DC's The Pig Restarurant (A Nose to Tail establishment in Logan Circle). She's a true community hero to me as well as a person who understands my interest in photography and metabolic health :) .
SaVanna started Washintgon, DC's Transgender Pride, and was the recipient of the Unsung Hero Award from DC Black Pride in 2017 : dcblackpride.org/2017/wanzer-savanna.htm
#CGM Sensor Number 3
1. How did this happen again 2. I prefer to refer to it as a "heatlhy habituation" 3. It's Halloween and Low Carb Baking and Ice Cream making time - data is everything.
Reminders/Disclaimers
I am not interested in telling other people what to eat. However, I realize that I enjoy and can sustain a real food, healthy fat, low carbohydrate eating pattern quite easily, with good results.
While I am not diabetic or pre-diabetic, I'm awed by the ability of the human body to regulate itself and the ability of humans in which regulation is compromised to achieve their life goals.
I have no ties to, nor have I received any gifts, honoraria, meals, from any food, pharmaceutical, device, or diagnostics manufacturer. No product endorsement is implied. #ConflictFree #NoDollarsforThisDoc
#LCHF #ContinuousGlucoseMonitor #ThisCenturyBestCentury #DiabetesPrevention #DiabetesReversal #MetabolicHealth #Nof1Experiment #Geek
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The 2020-2025 Dietary Guidelines for Americans development process is under way. Updating the Dietary Guidelines for Americans is a multi-step, multi-year process.OverviewThe U.S. Departments of Agriculture (USDA) and Health and Human Services (HHS) currently are asking for public comments on topics and supporting scientific questions to inform our development of the 2020-2025 Dietary Guidelines for Americans.
Steak has more unsaturated fat than saturated fat (30% of fat is saturated, compared to 24% saturated fat for salmon) & saturated fat is no longer linked to cardiovascular disease.
“In 1961, spurred by emerging medical and epidemiologic research, the AHA issued dietary recommendations to reduce the intake of total fat, saturated fat, and cholesterol”
Photo: “Harried Housewife preparing dinner w/ convenience foods” - US News and World Report Archive, 1968, Library of Congress, photo of contact sheet by Ted Eytan, MD
Sources: Cohen E, Cragg M, DeFonseka J, Hite A, Rosenberg M, Zhou B. Statistical review of US macronutrient consumption data, 1965–2011: Americans have been following dietary guidelines, coincident with the rise in obesity. Nutrition [Internet]. 2015 May 1 [cited 2017 Dec 4];31(5):727–32. Available from: www.ncbi.nlm.nih.gov/pubmed/25837220 ; www.loc.gov/photos/?q=+USN%26WR+COLL&sb=date_desc&... (1968)
Matching a Low-Carbohydrate pumpkin pie with a continuous glucose monitor for examining glucose regulation.
The pie is made with no added sugar no bean/seed/industrial vegetable oils.
No Conflict of Interest
I have no ties to, nor have I received any gifts, honoraria, meals, or other consideration from any food, pharmaceutical, device, or diagnostics manufacturer. No product endorsement is implied. Equipment purchased using personal funds - no health care premium dollars used. For full disclosures, see tedeytan.com/disclosures #ConflictFree #NoDollarsforThisDoc
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Steak has more unsaturated fat than saturated fat (30% of fat is saturated, compared to 24% saturated fat for salmon) & saturated fat is no longer linked to cardiovascular disease.
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Low-carbohydrate, healthy fat chocolate chip cookies - no refined grains, no added sugar, no industrial vegetable oils
This paper, read in isolation, paints a grim picture of diabetes remission in the context of current care standards, even in the highest performing health systems in the United States - a greater percentage of patients die than go into remission in a typical year.
However, speaking to one of the authors gives a much different picture, one of hope (make sure you swipe to see all 3 slides together).
This is a great example of the era of social scientists, who go beyond the peer review process (in person communication, social media) to convey their findings and motivations in the interest of population health. Also a great example of being 3/4 full 😀. #MetabolicHealth #DiabetesRemission #DiabetesReversal #SocialScientists #ThisCenturyBestCentury #Nutrition
Sources:
Karter AJ, Nundy S, Parker MM, Moffet HH, Huang ES. Incidence of Remission in Adults With Type 2 Diabetes: The Diabetes Aging Study. Diabetes Care [Internet]. American Diabetes Association; 2014 Dec 1 [cited 2018 Jan 29];37(12):3188–95. Available from: www.ncbi.nlm.nih.gov/pubmed/25231895; A Different Take- My Conversation With the Author: Diabetes Remission Data from Kaiser Permanente Shows that Patients are Right to Have Hope, www.tedeytan.com/2018/02/12/25131
In this example, the conclusion of the paper, that higher intake of saturated fat is associated with an improved lipid profile, is supported by the data and the text in the paper itself. Charts created by myself (this data was not charted in the article).
This is an observation/secondary-analysis of randomized control trial data. There is intellectual bias across the study team, however the views are balanced within the team itself.
Source: Shih, Cynthia W, Michelle E Hauser, Lucia Aronica, Joseph Rigdon, and Christopher D Gardner. “Changes in Blood Lipid Concentrations Associated with Changes in Intake of Dietary Saturated Fat in the Context of a Healthy Low-Carbohydrate Weight-Loss Diet: A Secondary Analysis of the Diet Intervention Examining The Factors Interacting with Treatment Success (DIETFITS) Trial.” The American Journal of Clinical Nutrition 109, no. 2 (February 1, 2019): 433–41. doi.org/10.1093/ajcn/nqy305.
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Health and sustainability are inextricably linked. Sick humans on a healthy planet are not more sustainable than healthy humans on a sick planet.
I applaud WeWork’s commitment to the environment. Climate Change is a threat to human health.
Unfortunately, becoming meat free for employees is not the most effective or science-based way to support this commitment.
At the same time that meat is not being catered by corporate events, there are copious quantities of insulinogenic and diabetogenic foods served and promoted within the premises. From a science perspective, the carbon emissions from agriculture in the United States are 10% of the total. The carbon emissions from health care in the United States are 10% of the total.
A population struggling to prevent insulin resistance (up by 41% in Washington, DC, 76% Nationally, 1.67 million people in MD/VA/DC have pre-diabetes or undiagnosed diabetes, most don’t know it) will create a most unsustainable environment for all, through increased use of pharmaceuticals and associated health care. See this image to see what happens to humans when they ingest these foods: www.flickr.com/photos/taedc/28943375057/
It’s estimated that the use of $200/month of pharmaceuticals equals the offset from going completely vegan in 1 year. Same for taking one (1) transcontinental flight.
A better, more science-based approach, is to implement a sustainable food policy that incorporates health and the environment together.
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
A composite of data and trends in insulin resistance and diet (United States)
Left to right: Prediabetes among youth and young adults across levels of BMI (2005-2016), Prediabetes and diabetes across age groups in California (2015), Change in fasting plasma glucose (1990-2016), Change in American diet (1965-2011)
Sources: Andes LJ, Cheng YJ, Rolka DB, Gregg EW, Imperatore G. Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016. JAMA Pediatr [Internet]. 2019 Dec 2 [cited 2019 Dec 4];e194498. Available from: jamanetwork.com/journals/jamapediatrics/fullarticle/2755415 ; Babey SH, Wolstein J, Diamant AL, Goldstein H. Prediabetes in California: Nearly Half of California Adults on Path to Diabetes [Internet]. 2016. Available from: healthpolicy.ucla.edu/publications/search/pages/detail.as... Center for Health Policy Research, Copyright © 2006 The Regents of the University of California. All Rights Reserved;Mokdad AH, Ballestros K, Echko M, Glenn S, Olsen HE, Mullany E, et al. The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States. JAMA [Internet]. 2018;319(14):1444–72. Available from: jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2018.0158; Cohen E, Cragg M, DeFonseka J, Hite A, Rosenberg M, Zhou B. Statistical review of US macronutrient consumption data, 1965–2011: Americans have been following dietary guidelines, coincident with the rise in obesity. Nutrition [Internet]. 2015 May 1 [cited 2017 Dec 4];31(5):727–32. Available from: www.ncbi.nlm.nih.gov/pubmed/25837220
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Grass Fed Rib Eye Steak cooked using Sous-Vide method.
100 grams of Rib Eye has 11 grams of monounsaturated fat, about the same amount of monounsaturated fat as there is in 1 tablespoon of olive oil. 1 tablespoon of olive oil has 1.4 grams of saturated fat, a little more than in 1 slice of bacon (1.1 grams saturated fat). There is no food that has only one kind of fat. Rib Eye is a fattier cut of meat; a sirloin cut has 4.8 grams of saturated fat, or 3 tablespoons of olive oil’s worth.
We also now know there is no evidence that replacing saturated fat with carbohydrates is better for human health, probably the opposite is the case.
And, as expected, ingestion of the stake resulted in no rise in blood glucose, as tested with a continuous glucose monitor (glycemic index of steak =0 )
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Low Carbohydrate, Healthy Fat Ice Cream
No industrial/vegetable oils
Includes full fat coconut milk and full fat dairy (heavy whipping cream)
No churn recipe
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
The Soho Forum Debate, May 13, 2019, with Nina Teicholz and David Katz
Resolution
There is little or no rigorous evidence that vegetarian/vegan diets are healthier than diets that include meat, eggs, and dairy.
See: www.thesohoforum.org
Low Carbohydrate Peanut Butter and Jelly Cookies - Vegetarian (1 egg in recipe), no added sugar.
Because life is too short and too amazing to suffer from metabolic syndrome.
The American Diabetes Association has published its Standards of Medical Care in Diabetes - 2020, and includes statements on the effectiveness of managing carbohydrate intake for people with diabetes and those at risk for diabetes. The standard advises replacing sugar-sweetened beverages, including fruit juices, with water. The American Heart Association continues to certify 100% fruit juice as heart-healthy in its latest list of heart healthy foods.
“People with diabetes and those at risk are advised to replace sugar-sweetened beverages (including fruit juices) with water as much as possible in order to control glycemia and weight and reduce their risk for cardiovascular disease and fatty liver B and should minimize the consumption of foods with added sugar that have the capacity to displace healthier, more nutrient-dense food choices.”
“Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia and may be applied in a variety of eating patterns that meet individual needs and preferences.”
Sources: www.heart.org/en/healthy-living/company-collaboration/hea...; www.flickr.com/photos/taedc/39187817305/ ; 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2020. Diabetes Care [Internet]. 2020 Jan 20 [cited 2019 Dec 20];43(Supplement 1):S48–65. Available from: care.diabetesjournals.org/lookup/doi/10.2337/dc20-S005
The American Heart Association operates a food certification program “Heart-Check”
I completed the check with two different situations, a normoglycemic individual and a person with hyperglycemia. Both individuals are advised not to skip dessert, with a key word substitution - “ Your sweet tooth won't miss the added sugars.” for the person with hyperglycemia, “Your sweet tooth won't miss the saturated fats” for the person without. The banana advice is taken away for the person with hyperglycemia.
The assessment does not ask about validated measures of heart health, including triglycerides or HDL.
The assessment does not include or ask about consumption of 100% fruit juice as a sugar sweetened beverage. American Heart Association certifies 100% fruit juices in practice.
In September, the AHA came under fire for posting a breakfast recipe on Twitter that suggested adding maple syrup honey and orange juice to an already high-carbohydrate mixture for heart health.
Sources: mlc.heart.org/; www.flickr.com/photos/taedc/39187817305/ ; twitter.com/American_Heart/status/1176625989763440641;htt...
Source:
Atkinson FS, Foster-Powell K, Brand-Miller JC. International tables of glycemic index and glycemic load values: 2008. Diabetes Care [Internet]. American Diabetes Association; 2008 Dec 1 [cited 2018 Jun 4];31(12):2281–3. Available from: www.ncbi.nlm.nih.gov/pubmed/18835944
“(A) Mean changes of hemoglobin A1c (HbA1c) from baseline to last published date for each study retrieved to represent the three methods of reversal; (B) mean changes of weight from baseline to last published date for each studies retrieved to represent the three methods of reversal. Note: We chose these three studies to represent the three methods of reversal based on publication date and relevance to diabetes reversal. Note that baseline characteristics differ. Surgery trial examined by sleeve gastrectomy and Roux-en-Y gastric bypass separately and were represented as sleeve and bypass in the graph. Surgery: STAMPEDE [34,35]. Low-calorie diets (LCD): DIRECT [65,66]; carbohydrate restriction (LC): IUH [99,107].”
Source: Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766. Available from: www.mdpi.com/2072-6643/11/4/766
Image used under a CC BY 4.0 license.