Author Archives: Gary Fettke

Are our children drinking enough water? Probably not if this study is applied in Australia.

Gary Fettke No Fructose's photo.

Adequate fluid intake is critical to hydration, metabolism and hunger. A lot of the time we will confuse thirst for hunger. Simply increasing your fluid intake, preferably water, is a great way of keeping hunger at bay.

One of my tricks is to have 1 to 2 large glasses of water just before leaving work for home. I am then pretty ‘full’ when I get home and it is much easier to resist the before dinner snack. The same goes for children – a glass of milk upon hitting the front doorstep at home is much better than fruit juice.

“Children and adolescents in this sample consumed 2.9 (SE=0.1) servings per day of plain water, 2.0 (SE=0.1) servings per day of Sugar Sweetened Beverages, 1.1 (SE=0.04) servings per day of milk, and very small amounts of 100% juice, diet beverages, and unsweetened coffee or tea. Moisture intake from foods, which averaged 399.3 grams (SE= 9.0) in this population, contributed 21.1% of total moisture, with beverage intake contributing the remaining 78.9%.”

http://www.nofructose.com/food-ideas/food-tricks/

http://www.2ndchance.info/dxme-CRT-%20Kenney2015.pdf

http://www.hsph.harvard.edu/…/study-finds-inadequate-hydr…/…

https://www.facebook.com/393958287365295/photos/a.407869679307489.94446.393958287365295/872066276221158/?type=3

Dietary Cholesterol – No link to Cardiovascular Disease

Another nail in this cholesterol coffin. A systematic review and meta-analysis of 632000 patients involving longitudinal studies failed to show any links.

Eating cholesterol is not associated with an increase in Cardiovascular disease. This review even found an improved result in HDL’s – High Density Lipoproteins, the ones associated with a lowering of cardiovascular disease.

A doubling of deep bone infections in the last 40 years.

Gary Fettke No Fructose's photo.

A recent US paper has looked at rates of deep infection over a 40 year period.

The rate has doubled from 11.4 per 100000 person years to 24.4 infections per 100000 person years.

They cannot come up with a reason for this observation.

I wonder why that is so. What about nutrition, obesity and diabetes for a starter? We’re obviously getting unhealthy and I think it’s our nutrition or lack of it.

http://jbjs.org/content/97/10/837

https://www.facebook.com/393958287365295/photos/a.407869679307489.94446.393958287365295/871913946236391/?type=3

What to do with an outlier?

typeone gritWhat do you do as a doctor when a patient is doing something different, what appears to be against your conventional teaching, yet is having fabulous results?

If you are a smart doctor, you will pay attention. A lot of attention.

Ahmed Afifi is now a friend of mine, joined by a common goal of education and support for those people with Type 1 Diabetes looking at options in management. He has Type 1 Diabetes and running Low Carb in his own management. He has great control and doing well.

He is an outlier. He is also a diabetes educator and journalist in the Middle East.

Read his encounter when visiting an Ear Nose and Throat Surgeon who is becoming diabetic himself and married to a woman with Type 1 Diabetes. The medical profession have to pay attention to the outliers, the patients that are doing so much better than everyone else. Continue reading

DAA softening on fat

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Dietitians Association of Australia understands that LCHF is a ‘hot topic’.

This opinion piece has come out from the DAA yesterday. I don’t like the term Low Carb High Fat because it gives people the inference that they can gorge on fat. Replacing high sugar and refined carbohydrates with the right amount of Healthy Fat is my recommendation.

Nonetheless the DAA have dipped their toes into the debate with caution, and with the role of LCHF in Diabetes management. They acknowledge that there is a role for it, with the right supervision. Exactly my point.

I actively encourage my patients to consider lowering their carb intake with the supervision of their doctor, a dietitian and a diabetes nurse educator – and to do it slowly.

The DAA have not gone far enough but the statement is a baby step from them.

The role of carbohydrate restriction in Diabetes management is being debated around the world and the following summary article sums up my current opinion.

‘Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base’

http://www.sciencedirect.com/…/article/pii/S0899900714003323

Science keeps evolving and options for patients need to be considered.

http://daa.asn.au/…/low-carbohydrate-high-fat-diets-for-di…/

Grass fed beef has the right Omega 3 fatty acids in comparison to grain fed cattle.

Gary Fettke No Fructose's photo.

Feed lot cattle are fed grain and that exposes the stock to a different mix of food. Guess what? They end up fatter and the fatty acid profile is more inflammatory.

This 2006 paper confirms the lower amount of good Omega 3 fatty acids in grain fed cattle that have been fattened up for market.

Polyunsaturated oil link to obesity and diabetes

shutterstock_126884789It’s a mouse study but aimed at the average human American consumption of Soybean Oil. Soybean oil is about 57% polyunsaturated and that puts it in my pro inflammatory group.

It was compared to coconut oil which is less than 1% polyunsaturated.

The processed food seen on our shelves has generally got more polyunsaturated seed oil composition.

That all fits in with the “Nutritional Model of Inflammation”
at http://www.nofructose.com/…/nutritional-model-of-modern-di…/

http://www.sandiegouniontribune.com/…/soybean-oil-weight-g…/

The article at http://www.plosone.org/article/fetchObject.action…

Is LCHF and nutritional ketosis a new treatment for HIV AIDS?

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It seems the HIV AIDS infection is significantly dependent on glucose, not dissimilar to cancer.

Cutting back on glucose and therefore carbohydrate and sugar may be a major link in the treatment of this devastating disease.

It is worth further inquiry and just like in cancer management, nutritional ketosis may be worth trialling. I have seen the benefits for many people with infection and getting the immune system working better seems a no brainer.

It all fits in with the nutritional model of inflammation and modern disease and processed food is central to that.

http://www.nofructose.com/introduction/nutritional-model-of-modern-disease-2/ Continue reading