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Monday, November, 23, 2009
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The Grain Drug

David Mendosa
David Mendosa
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Medical Journalist Living with Diabetes and Author of Fitness and Photography for Fun, www.mendosa.com/fitnessblog

After earning a B.A. with honors from the University of California,...

David Mendosa

Sunday, November 01, 2009
View All of David Mendosa's Posts
For more than a quarter of a century whenever I would mention coffee, a good friend of mine would smugly comment, "I don't do drugs." The caffeine in coffee is, of course, a stimulant drug. But he didn't know that he does use a drug, one that is even more common than caffeine.My friend didn't reali...
  1. Addictions, Inflammation, Grains. Dairy
    kilaph2447
    Sunday, November 01, 2009 at 11:09 PM

    EXCELLENT commentary, and perfectly timed for me. I will now avoid ALL dairy, w/ my being both (1) an NIDDM as well as (2) having vasculitis, an inflammatory-vascular issue. Having lost 27% body weight (70 lbs) is NOT enough, although I thought (and you might) it would be. "27%" is merely mindless "QUANTITY-THINK", and David is speaking to the "qualitative" of what one is taking onboard. The, often intertwined, dual aspects of "addiction" and "inflammation" are fascinating to me in that they INDEED for me (for you?) ARE the really core issues. 

    Reply
  2. Untitled Comment
    Massagemaniac
    Sunday, November 01, 2009 at 11:39 PM

    Thank you.. Wow ! That is amazing about grains.... sometimes I feel we crave carbs because it can calm us also.  I want to mention that I just tried an Organic Non dairy

    frozen dessert called "Purely Decadent" from Turtle Mountain.  I tried it tonight because it is sweetend with agave syrup.  I am not on meds, and so far I have had a great response -- as far as its glycemic index.   This is made with coconut milk, and I saw it in vanilla and chocolate.  Even though there are many sugar free ice creams, I don't love sugar alcohols.  This also has 6 grams of fiber, which may be why it hasn't spiked.   Only seven ingredients... I got the chocolate one.... and added some nuts.  Speaking of addictions, I have to have chocolate especially during this darker season ( SADS).  I hope this is a healthier choice for me.

    Reply
    re: Agave syrup
    Ted Hutchinson
    Monday, November 02, 2009 at 08:10 AM

    Agave syrup consists primarily of fructose and glucose.

    If you watch the Robert Lustig You Tube video Sugar: The Bitter Truth you will understand better why fructose needs to be strictly limited. 

     

    In Gary Taubes Dartmouth Lecture  about obesity, around 47 minutes into the talk (slide 48) Gary Taubes explains fructose metabolism and his last words on that slide as an aside are "Indeed Fructose may be 90% of the problem"

    Reply
    re: re: Agave syrup
    Massagemaniac
    Monday, November 02, 2009 at 04:37 PM

    But there is fructose in fruit , right?  And I am not using great quantities of this, just occasionally, not every day.  Btw, do you use splenda ?  Thanks. 

    Reply
    re: re: re: Agave syrup
    David Mendosa
    Monday, November 02, 2009 at 05:38 PM

    All fruit except avocados has fructose. But most experts on the dangers of fructose, including Dr. Lustig at UCSF, don't tell us to stop eating fruit.

     

    I don't use Splenda. I use stevia exclusively.

     

    Best regards,

     

    David

     

    Reply
    re: re: re: re: Agave syrup
    Massagemaniac
    Monday, November 02, 2009 at 10:42 PM

    Thank you. :)

    Reply
    re: re: re: re: Agave syrup
    Massagemaniac
    Monday, November 02, 2009 at 11:44 PM

     

    I have a comment regarding guiltless pleasures.   I don't understand why when I eat "ORGANIC" chocolates such as Bug bites, Dagoba, or even Whole Foods Chocolate Truffles, it doesn't spike my blood glucose like sugar...  In fact, there is not too much of a climb in my numbers.   Is it because the sugar is organic ?  Also, organic cane juice in chocolate has been mild.   I do not eat this all the time, but when I have tried them, it is a large difference than say from eating a snickers bar.   And when I eat them, smaller amounts are satisfying.   I am just wondering if that is unusual, or if the organic ingredients make a difference in the glycemic load.  Thanks.

    Reply
    re: re: re: re: re: Agave syrup
    David Mendosa
    Monday, November 02, 2009 at 11:56 PM

    I can't imagine that the sugar in those products being organic would make any difference. But some of them do have LESS sugar. The best bet are those that are labelled as 70% cocoa or more.

     

    Best regards,

     

    David

    Reply
  3. Untitled Comment
    Helen Coxe
    Monday, November 02, 2009 at 10:22 AM

    I am getting more and more discouraged every time I read something here (and other places) about what NOT to eat.  I don't know what to eat.  I wish I didn't have to eat.  I'm almost 66 years old and I'm just sick of it all.  Is it really supposed to be this hard? It CHANGES all the time.  WHO is one supposed to believe?  Sorry to vent - but it seems as tho I just keep spending money reading one book after the other by experts with differing opinions.  The only thing I can think of they are secretly authored by members of Congress. 

    Reply
    re: Untitled Comment
    David Mendosa
    Monday, November 02, 2009 at 10:36 AM

    Dear Helen,

     

    I absolutely understand. In fact, I have just started to think about this problem and hope to have an article here about it in a few days.

     

    Best regards,

     

    David

    Reply
    re: re: Untitled Comment
    Helen Coxe
    Monday, November 02, 2009 at 11:43 AM

    Well thanks David.  Guess DST has made me a grump this morning.  I do appreciate all you do for us.  I trust you more than any Dr. or book.  You are an amazingly generous man.  I will look forward to your post addressing this problem.Smile

    Reply
    re: Untitled Comment
    SSC
    Tuesday, November 03, 2009 at 09:45 AM

    I understand this frustration very well!  My husband (46 yrs old) has just been diagnosed with type 2 diabetes, and I (61 yrs old) have had a thyroid condition and high cholesterol for several years.  The more research I do to try to figure out what we should eat or not eat to minimize our health problems, the more discourged I become.  Every article contradicts some other article.  "Eggs are bad for you."  "Eggs are good for you."  "Coffee is bad for you."  "Coffee won't hurt your health."  "The South Beach diet is good for cholesterol and diabetes."  "No, the low-glycemic diet is better."  No, both of those are wrong.  It is extremely confusing and downright aggravating trying to figure out what to eat and who to believe.  It really seems that one has to give up anything that tastes good and anything that is enjoyable.  If that's true, what kind of miserable existence is that and why would anyone want to prolong it?  I just need some simple rules on what to fix for dinner and what to drop from our diet.    Where can I get this information?

    Reply
    re: re: Untitled Comment
    David Mendosa
    Tuesday, November 03, 2009 at 11:24 AM

    Dear SSC,

     

    My article tomorrow will address this very issue. Stay tuned!

     

    David

    Reply
    re: re: re: Untitled Comment
    Anonymous
    Tuesday, November 03, 2009 at 12:48 PM

    Great!  I look forward to it.  In the meantime, I've been reading some of your other articles, and I think we'll try a low-carb diet for today.  I went on South Beach a few years ago and dropped 40 lbs. (which I gained back when I stopped paying attention to what I was eating).  At least I have an idea of where to start with that. 

     

    Thanks for this web site. 

     

    SSC

     

    BTW, I noticed on your profile that we have the same birthday, August 5th. 

    Reply
    re: re: re: re: Untitled Comment
    David Mendosa
    Tuesday, November 03, 2009 at 12:58 PM

    Thank you.

     

    But I hope for your sake that the year of your birth is more recent than mine!

     

    Best regards,

     

    David

    Reply
    re: re: re: re: re: Untitled Comment
    SSC
    Tuesday, November 03, 2009 at 01:29 PM

    Not much - 1948. 

    Reply
    Agree... somewhat
    Tchiki
    Thursday, November 12, 2009 at 03:54 PM

    I sometimes feel the same way, but then I try to listen to my body. My body tells me that I shouldn't eat sugar by giving me weird up's and down's in energy. It's almost as bad as caffine. Now it's starting to tell me that grains are bad becuase I'm getting those same energy spikes. But then again, I've read bad things about tofu and I just flat out disagree. I feel just fine when I eat it.

    I think we spend so much time listening to everyone else that we forget to listen to ourselves...

    Reply
  4. Thinks that make you go hmm...
    tmana
    Monday, November 02, 2009 at 10:39 AM

    My "carb addiction" has never been to sugars and sweets -- always to wheat, particularly white flour. Other grains are tasty but not nearly as "addictive" IMO.

     

    Did the authors you cite do tests on non-wheat grains (corn, rye, oat, spelt, barley?)

    Reply
    re: Thinks that make you go hmm...
    David Mendosa
    Monday, November 02, 2009 at 10:53 AM

    I've been wondering the same thing. Those citations were only for wheat and studies for non-wheat grains may or may not exist. We need more research!

     

    Best regards,

     

    David

    Reply
  5. myth of vegetarianism
    Cleo
    Monday, November 02, 2009 at 01:21 PM

    It sounds like Ms. Keith wasn't a vegetarian, but a starchatarian.  I've yet to hear of anyone who was harmed eating a diet of fruits and vegetables and nuts.

    Reply
  6. Glad to hear you're doing fine....
    David Mendosa
    Monday, November 02, 2009 at 05:31 PM

    A correspondent who is also named David wrote me privately that somehow he wasn't able to post this comment and asked me to post it for him. So here is David's comment:

     

    Hi David

    I read your blogs and articles with great appreciation and have been meaning to email you about my lap banding.

    Unable to tolerate Metformin I have been slowly stacking on kilos with Diamicron and more so with a top up from Actos (I tried Avandia also but had side effects of a daily 11:00AM sneezing session).

    So after thinking about the operation for 18 months I finally went in for it Sept 21, stayed overnight and then home sore with 3 holes and one slit in my stomach.

    I noticed that on the post operative clear liquids with diabetes drugs suspended my sugars were normal. So 48 hours later I decided to try a carb free diet. And guess what acceptable sugars.

    Since starting the procedure including the 2 weeks before the op on Optifast & a bowl of vegetables a day I have lost over 10 kilos in just 7-8 weeks. Dropped the supplementary Actos tablet for the 2 weeks and reduced my Diamicron intake to 2 MR per day then zilch from the operation forward.

    My endocrinologist last week was not overly surprised by my ability to stop medicating and I am determined to try and keep my diet carb free as far as possible.

    I did note however that when I had a splurge on soft blue cheese and crackers one lunchtime I was hungry all day after that. Therefore it seems true for me I am addicted to Carbs and they do make me hungry. Even a little sweet corn kernels mixed in with other vegetables (from one of the easy to use micro steam packs we get here in the freezer section) will make you crave to eat and eat.

    What doesn't seem to make me hungry is fruit...in the small quantities I have tried to date.

    Oh and I had a run in with the Emergency Department of the local teaching hospital 2 days after I came home due to muscle freeze up that wouldn't allow me to empty my bladder. I got a free full medical examination and an essential drain and was as right as rain from then on.

    The lap band operation here is not on our Medicare all inclusive public health scheme yet - they are talking about it - so you end up using part Medicare funding, part private health scheme and pay a gap which depends on your surgeons and excess for hospital stay. All our hospital stays are private rooms under our private health care cover, my excess is A$500 and the gaps amount to about A$3500.- all up. Medicare pays for band fills with my surgeon.

    The lap band is filled 4 weeks after and again 4-5 weeks on from that. It doesn't stop you eating the wrong things but restricts quantity you can eat in one go and slows your eating speed down. Also beef steaks are out but corned soft beef can be tolerated without causing a blockage, however trial and error will show you quickly what is suitable. I am eating lots of salmon, tins of Alaskan, or fresh or smoked salmon from Tasmania depending on where I am a 100g tin of salmon travels well to work, as does smoked, otherwise chicken and recently for a special occasion treat Duck breast (skinless). Turkeys good too!

    Other things, bacon (weight watchers 98%fat free brand), 1 egg scrambled, & 1 tomato for breakfast and vegetables with other meals, mixed. Add a daily vitamin pill and some fat free yoghurt as a gap filler or low calorie jellies with small amount of fruit and that’s it aside from tea, white (as in white with milk), white (as in tea type) and water. No coffee - it makes you hungry!!! and just water to suit. I also eat (virtually suck) a small bag (snack pack) a day of nuts and raisins if I get hungry due to boredom.

    I tried to post this to the site but ether my password was wrong and then it went on maitainenece so here it is. Do post if you want to.

    Hope this helps some other Type II's - BTW my pre op BMI was 38.5%, not overly high but 35% is considered to be suitable for banding diabetics here and there was no way beforehand I was even holding my weight stable!!! Now...10-20 years have been gotten back providing I stick with it.

    Kind regards and thanks as always for your valuable information.
     
    David

    Reply
  7. The Grain Drug
    verdungal
    Thursday, November 05, 2009 at 11:25 PM

    Interesting article, David. Just like to mention  that  opioid peptides called rubiscolins have also been found in  spinach too

    Regards

    Joan

     

    Reply
    re: The Grain Drug
    David Mendosa
    Friday, November 06, 2009 at 03:01 PM

    Dear Joan,

     

    Not spinach too! Maybe that's why I like spinach so much! At least it's not starch and high glycemic like wheat.

     

    Best regards,

     

    David

    Reply
  8. Untitled Comment
    mike999
    Monday, November 09, 2009 at 02:15 PM

    David,

    thanks for articles, always so informative.

    Re: addictive grain.... did you know lsd was first produced from a fungus in rye grain?

    Reply
    re: Untitled Comment
    David Mendosa
    Monday, November 09, 2009 at 03:42 PM

    Dear Mike,

     

    No, I didn't know that. But then I don't use either LSD or rye any more.

     

    Best regards,

     

    David

    Reply
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