How to reverse the diabetes epidemic in 3 years.

It’s out! I’m honoured to be part of an authorship team with Prof Robert Lustig and Cardiologist  Dr Aseem Malhotra, two rock stars of nutritional science and public health. These two guys are driving change and challenging dogma. The paper, just published here in the Journal of Insulin Resistance, is an up to date report on the science of sugar, and offers an eight-point plan to reverse the diabetes epidemic within three years. From the press release…. “Three international obesity experts, NHS Consultant Cardiologist Dr Aseem Malhotra, Professor Robert Lustig of the University… Read More

Grain fibre, productivity, and type 2 diabetes and cardiovascular disease in New Zealand

You might have noticed claims in the media in the last few days that New research conducted by Deloitte Access Economics and Nutrition Research Australia shows that if every New Zealand adult adds three serves of high fibre grain food to their daily diet, it could save the economy an estimated $607 million a year in reduced healthcare costs and lost productivity, and potentially avert 34,000 new cases of cardiovascular disease and 68,000 new cases of type 2 diabetes. This is from a report (dae-nz-fibre-economics) that Deloitte produced for Kellogg’s. Industry funding was… Read More

NZ case study; A citizen scientist controls autoimmune diabetes without insulin, with a low carb diet, a glucose meter, and metformin.

The case study is a very important type of medical publication that’s overlooked in this age of big data. Unlike large statistical studies, which tell you the probability of something happening, the case study tells you whether something CAN happen at all, and under exactly which circumstances it has happened. Case studies answer questions like “Can autoimmune diabetes, with lower insulin production, be managed long-term without insulin?” Yes, it can, and this is described in full detail and a clear and simple style in a new case-study from Christchurch.[1] 2017 Nelson Jacobs… Read More

Australia’s response to the diabetes epidemic – shooting the messenger.

On the Sunday current affairs program in New Zealand there was a report on the diabetes epidemic in South Auckland. This is our largest (and growing) health problem, and two of the players in this tragedy had messages that stood out. An elderly woman, overweight and now condemned to thrice-weekly dialysis, told us “I didn’t do anything wrong”. How right she was. The Ministry of Health website still offers this “healthy eating” advice – “Fill up on breads, cereals, pasta and rice.” Junk epidemiology and junk food The epidemiologists from Harvard recently grabbed headlines… Read More

Very low-carbohydrate diets in the management of diabetes revisited

Just out –  our latest paper in the New Zealand Medical Journal – a review and viewpoint on low carb for diabetes. We’re just continuing to make the point that low carb eating is a very sensible way to go for people with diabetes. The outcomes are better. Here’s the abstract. Full text here ABSTRACT  Humans can derive energy from carbohydrate, fat, or protein. The metabolism of carbohydrate requires by far the highest secretion of insulin. The central pathology of diabetes is the inability to maintain euglycaemia because of a deficiency in… Read More

More on mice, humans and diets for diabetes

By George Henderson and Grant Schofield (….gets technical, mainly due to George) There’s been a bit written about NZO mice and how they are used to understand the physiology of diabetes, and how dietary compositon works amongst it all. We wrote about it here. What are we to make of all of this moving forward? Animal experiments are useful when a question cannot be answered by tests performed on humans for ethical or practical reasons. For example, investigations into the causes of beta-cell failure in diabetes involve damaging the pancreas and examining it after death…. Read More

Ironman triathlon on LCHF with Type 1 diabetes

Introducing Lewis Civin. Lewis is a 38 year old Type 1 diabetic. He has a great story of what is possible doing Ironman triathlons on a LCHF diet. His persistence and  learning experiences leading into and from the recent Auckland Ironman 70.3 on a low carb high fat diet tells us loads about human physiology and fat burning. Lewis’ story has some great insights about how both carbs and protein affect his blood sugar and insulin requirements. Lewis’ race data from the 70.3 event in Auckland. If you are a Type 1, or know a Type… Read More

More on low carb and diabetes

Last week I wrote a short piece on low carb and diabetes, specifically Type 1 diabetes. That’s the diabetes where the body can’t produce insulin (aka Diabetes Mellitus or T1DM). Conventional wisdom has it that people with T1DM should eat a decent amount of carbs (200+ grams a day), which is a fair bit, and you match the insulin you inject to cope with that carb load.  The trouble is that: It’s really hard to exactly match the insulin to the glucose load Operating like this means that you will be constantly… Read More

Type 1 Diabetes and Low carb

I met a guy called Ralph Norris a few months ago.  He is one of New Zealand’s more successful businessmen and corporate CEOs.  He’s had roles as CEO of Air New Zealand, ASBank, and Commonwealth Bank Australia (CBA).  He’s on the board of New Zealand’s biggest company Fonterra, and the Treasury board, and is fit and healthy looking. He’s a peak performer in every aspect of his life; even in his mid-sixties he still looks good and is sharper than anyone I know. Oh yeah, it’s Sir Ralph Norris too! I was… Read More

Do diabetes specialists have learning resistance?

The healthy diabetes plate is a peer-reviewed “evidence based guidelines for healthy eating for Type 2 diabetics”. Here’s my rant around what I consider to be a gaping hole in sensible logic. Here’s the biological logic: You have become metabolically dysregulated. In mainstream medicine, your doctor will call you “insulin resistant”. That means your body is having difficulty getting glucose out of your blood stream into your cells. Your body still needs to get rid of this glucose, so your pancreas produces more insulin to get the glucose into the cells. Chronically… Read More