Saturday, July 14, 2012

Saturday Stories: Weight Maintenance, Lustig, and Calories

James Fell explains the secret to long term weight maintenance to the Chicago Tribune.

Evelyn at the Carb Sane-Asylum shows no mercy in evaluating sugar fearing Robert Lustig's do as I say, not as I do lifestyle.

Dr. Jules Hirsch, emeritus professor and emeritus physician in chief at Rockefeller University takes on the is a calorie a calorie question in the New York Times.

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  1. I understand there are problems with Lustig's extreme viewpoint on the effects of sugar, but I fail to see how ad hominem attacks help anyone understand the problems with his arguments. I don't find such attacks edifying. Lots and lots of people don't practice what they preach, but that does not mean they have nothing worthwhile to say.

    As for the article on Ludwig - I would be surprised if the study authors had not considered water loss. It is a rather well done study. I actually found Stephan Guyenet's piece on that study to be more interesting than Kolata's interview:

  2. Anonymous8:35 am

    I believe that a calorie is a calorie from an energy perspective, but the nutrient composition of one's diet is a primary driver of hunger, which is where high-carb diets sabotage people who are pre-diabetic. Show me a person with trouble processing carbs who can survive on a 1500 calorie a day diet of 60%+ carb or more and I will show you a rainbow colored unicorn. Unless you're in a lab pumping someone full of IV liquid nutrients, a high carb 1500 calorie a day diet is not realistic for a pre-diabetic person, and it's downright destructive for a diabetic (who is told by many docs to just take more meds and more insulin to help them metabolize the "recommended" high carb diet in the US). A moderate calorie, high-fat, high-protein diet made of whole foods is simply easier to maintain for many people than a moderate calorie, high-carb diet because of the hunger-trigger factor.

    1. Anonymous1:40 pm

      I am someone who was diagnosed with type 2 diabetes 8 years, I changed my diet to the Dash diet, a high carb, low fat, low sugar,low sodium, high fiber diet. My case 60 to 65 % carbs, when losing weight I ate 1600 to 1800 calories a day lost 150 lbs in 1 1/2 years and has maintained that weight loss. When I was diagnosed my A1c was 10.5 three months later it was 4.8 lost 50 lbs in the first three months and stopped taking the medication prescribed for diabetes after one month and my yearly A1c test has been 4.2 since. Your statement is something I've come across many times on diabetes forums or discussion groups by those who feel that there is only one course of action to take when dealing with diabetes, I believe each person has to find what works best for them. Whether it is a lc/Hf diet or a diet higher in carbs. For me personally maintenance has been very easy for me. I don't crave anything I used to eat before and I don't count calories.

  3. Like the picture at the top of this thread Yoni. Trouble is my car does 60mpg and my wife's car does 45mpg, not all cars are the same...;)

  4. Re: Lustig, Taubes, and many others ...

    When it comes to all these diet/health dogmas, I defer to Dr. Otis Brawley's observation: Doctors (replace doctor with people) tend to confuse what they believe with what they know.

    There's rampant confusion in the heartland. For the real problem, I recommend reading Yoni Freedhoff's explanation about obesity (a few months back).

    Have a happy day.