I Found a Paleo-Friendly Physician

Dr. Ernie Garcia is an internist in Louisiana treating some of his patients—particularly those with high blood pressure and diabetes—with the paleolithic lifestyle.  (Mostly  paleo diet, or other aspects of paleo lifestyle, too?)

Read more at PaleolithicMD.

Steve Parker, M.D.

An Infestation of Deer

Looking over the American landscape, it’s hard to think of a more insidious threat to forests, farms and wildlife, not to mention human health and safety, than deer.

—from the Bloomberg View editorial board at Bloomberg News, August 8, 2012

Why Do Our Teeth Rot?

The truth is that tooth decay is a relatively new phenomenon. Until the rise of agriculture roughly 10,000 years ago, THERE WAS NO TOOTH DECAY IN HUMANS.  Let that sink in for a moment. Humanity is 2,500,000 years old.  For the fist 2,490,000 years no one ever had a cavity.  If we understand that tooth decay started when people started farming instead of hunting and gathering for a living clearly you realize that tooth decay is a disease or mismatch between what you are eating and what your body expects you to eat.  If we examine the past as prologue it becomes clear that the path to proper health starts in the mouth and the answers are so simple that not only did a Cave Man do it.  They perfected it.

—John Sorrentino in a blog post August 6, 2012

Are Dense Acellular Carbohydrates the Primary Cause of Obesity?

That’s a proposal in a recent scientific article, from which I quote:

The present hypothesis suggests that in parallel with the bacterial effects of sugars on dental and periodontal health, acellular flours, sugars, and processed foods produce an inflammatory microbiota via the upper gastrointestinal tract, with fat able to effect a “double hit” by increasing systemic absorption of lipopolysaccharide. This model is consistent with a broad spectrum of reported dietary phenomena. A diet of grain-free whole foods with carbohydrate from cellular tubers, leaves, and fruits may produce a gastrointestinal microbiota consistent with our evolutionary condition, potentially explaining the exceptional macronutrient-independent metabolic health of non-Westernized populations, and the apparent efficacy of the modern “Paleolithic” diet on satiety and metabolism.

You can read the whole shebang free online.

Steve Parker, M.D.

Bacteria in Petri dish

Reference:  Spreadbury, Ian.  Comparison with ancestral diets suggests dense acellular carbohydrates promote an inflammatory microbiota, and may be the primary dietary cause of leptin resistance and obesity.Diabetes Metab Syndr Obes. 2012; 5: 175–189. Published online 2012 July 6. doi:  10.2147/DMSO.S33473 PMCID: PMC3402009

 

Nephrologist and Type 1 Diabetic Keith Runyan Tried the Paleo Diet

Jimmy posted a recent interview with type 1 diabetic Dr. Keith R. Runyan, who is a nephrologist and internist.

Dr. Runyan is training for the Great Floridian Triathlon this coming October so he naturally has a great interest in high level athleticism as it intersects with diabetes.  He fuels his workouts with dietary fats and proteins rather than the standard carbohydrates.

Dr. Runyan’s current carb consumption level didn’t come up specifically in the interview, but his website indicates he’s on a ketogenic diet heavily influenced by Dr. Richard Bernstein.  I figure he’s eating under 50 grams of digestible carbohydrate daily.  He also tried Loren Cordain’s paleo diet; my sense is that it didn’t help much with his diabetes, but perhaps some.  My sense is that he incorporates at least a few paleo features into his current eating plan.

People with type 2 diabetes can probably tolerate a higher level of carbohydrates, compared to type 1’s, generally speaking.  This didn’t come up in the podcast interview.

Overall, the interview strongly supports carbohydrate-restricted eating for folks with diabetes.  Definitely worth a listen for anyone with diabetes who’s not sold on a very-low-carb diet.  If you’re sitting on the fence, at least check out Dr. Runyan’s “About Me” page.

Steve Parker, M.D.

Triathlon: run, swim, bike

Quote of the Day

This one brings the TSA (U.S. Transportation Security Administration) to mind…

Find out just what people will submit to and you have found out the exact amount of injustice and wrong which will be imposed upon them…. The limits of tyrants are prescribed by the endurance of those whom they oppress.

—Frederick Douglass, former slave

In olden days, the U.S. Constitition was known as the Supreme Law of the Land

Video Demonstration of HIIT on Bicycle

Classic Tabata intervals use a stationary bike, but this is more fun

Gretchen Reynolds is the Phys Ed blogger at the New York Times.  She posted a short demonstration of high intensity interval training on a stationary bicycle.  It’s narrated by a leading researcher in this type of exercise, Martin Gibala of McMaster University.

No mention of Tabata, as usual.

-Steve

We’re Fat Because We Eat Too Much

At least one group of hunter-gatherers doesn’t burn any more calories in physical activity than Western cultures.  So much for blaming our fatness on low activity levels and labor-saving technology.

Cliff Notes version from the BBC.

—Steve

h/t Colby Vorland at nutsci.org

Do Cordain, Wolf, Konner, and Eaton Have It All Wrong?

The Face of Iconoclasm

In case you missed it, here’s a link to the recent Scientific American article arguing that the paleo diet is vegetarian.  I’ll read it when I have time.

—Steve

Alcohol May Impair Vision In Diabetics

MedPage Today reported that long-term consumption of alcohol may impair vision in diabetics.  Drinkers performed less well on vision chart tests than non-drinkers. This is not a diabetic retinopathy issue.

Beer and distilled spirits were riskier than wine.

The paleo community is divided on whether alcohol should be part of the program.  Undoubtedly, we drink much more alcohol than did our prehistoric ancestors.  Remember, however, that rotting fruits can provide alcohol.  I remember a news report about an elk in northern Europe who got drunk on rotting (fermenting) fruit and stranded himself in a tree.

The MedPage Today article didn’t comment on the potential health benefits of alcohol consumption. You can bet I’ll keep an eye on this.  (Did you get the pun?)

Steve Parker, M.D.