Editor’s Note: This article is a part of an Op-Ed series, “Second Opinion,” where patient experts share their take on current research, news, and trends in health and medicine. The views expressed in this article do not reflect the opinions or views of HealthCentral.com.
You probably have heard about the recent report that the sugar industry paid three Harvard professors to play down sugar’s role as a cause of heart disease and instead to put the blame on saturated fat. But if you have diabetes, you might well have assumed that this scandal, which just now surfaced, doesn’t have anything to do with you.
In fact, the connection between diabetes and the diet that you follow to manage it couldn’t be more direct.
But even before we consider the diabetes connection, the story that emerged is deeply troubling to anyone who pays attention to health research. In my opinion, the story is a study of bribery at the highest level, which can make anyone lose faith in research.
Follow the money
The Sugar Research Foundation, now called The Sugar Association, in 1967 paid three researchers the equivalent of nearly $50,000 in today’s money to write a review article in a medical journal.
I think that the most sickening part of this story is that they weren’t obscure researchers writing in a third-rate journal. In fact, the researchers were professors at our most prestigious university, Harvard, writing in the world’s most prestigious medical journal, The New England Journal of Medicine. The lead author of the study, Fredrick Stare, M.D., Ph.D., was “America’s top nutritionist.” He founded Harvard’s Department of Nutrition in 1942 and led it until he retired in 1976.
A co-author, D. Mark Hegsted, Ph.D., was a professor of nutrition in Dr. Stare’s department from 1962 to 1978, when he because the administrator of human nutrition at the U.S. Department of Agriculture, where he remained until 1982. At the USDA he helped draft “Dietary Goals for the United States,” also known as the McGovern report, a precursor of the current “Dietary Guidelines for Americans.”
The ‘smoking gun’
The historical analysis, “Sugar Industry and Coronary Heart Disease Research,” broke on September 12, 2016, when JAMA Internal Medicine published it online ahead of print. It’s based on correspondence between The Sugar Association and the Harvard researchers that lead author Cristin Kearns, DDS, a postdoctoral scholar at the medical school of the University of California, San Francisco, discovered in university libraries. Dr. Kearns found the proverbial “smoking gun,” which “produced compelling evidence that a sugar trade association not only paid for but also initiated and influenced research expressly to exonerate sugar as a major risk factor for coronary heart disease.”
The DDS degree Dr. Kearns has means that she is trained as a dentist, and dentistry and diabetes is where her exposé of corruption started. In November 2007 at a dentistry conference on diabetes, Dr. Kearns was shocked to hear a keynote speaker discount the role of sugar in diabetes. She was so shocked that she quit her job to devote her life to uncovering the documentary evidence showing how the sugar industry has influenced America’s health policy.
The story starts with diabetes
Not only does this story start at a diabetes conference, but it also extends beyond unethical behavior to America’s recommended diet for diabetes. For the last half-century we have been taught to fear fat, which we now know that the sugar industry did a persuasive job of drilling into our collective consciousness.
U.S. government policy from the “Dietary Guidelines for Americans” down to our doctors still tells us that we should “choose a diet low in fat.” Consequently, millions of people who have diabetes continue to eat a diet that is high in carbohydrates.
Yet, diabetes is a condition in which “the normal utilization of carbohydrate is impaired.” This was the clear statement in the landmark medical text, The Principles and Practice of Medicine, by Sir William Osler, who has often been called the “Father of Modern Medicine.”
Low-carb = high-fat
The connection is that a low-carb diet essentially implies a diet high in fat. Only fat can provide the immediate energy we need when we cut back on carbs. Ever since 1863 when William Banting (a distant relative of Sir Frederick Banting, who discovered insulin) published a booklet called Letter on Corpulence, the world should have known that switching from a high-carb to a high-fat diet works well to reverse obesity and to manage diabetes.
I think that the lessons of this sugar scandal for those of us who have diabetes are, first, that we should place the least trust in the food industry, which has its own agenda. Then, we need to be aware of the funding sources in studies, which are now reported more stringently (prior to 1984, they weren’t required in The New England Journal of Medicine). And ultimately, that the most trustworthy guide is our own experience.
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David Mendosa was a journalist who learned in 1994 that he had type 2 diabetes, which he wrote about exclusively. He died in May 2017 after a short illness unrelated to diabetes. He wrote thousands of diabetes articles, two books about it, created one of the first diabetes websites, and published a monthly newsletter, “Diabetes Update.” His very low-carbohydrate diet, A1C level of 5.3, and BMI of 19.8 kept his diabetes in remission without any drugs until his death.