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    raw blueberry pie with microwaveable filling and graham cracker crust

    This mostly-raw blueberry pie is a snap to make and very versatile--the filling microwaves in a few minutes, and you don't even have to bake the zippy gingered graham cracker crust--perfect for a hot Fourth of July and all summer long.

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  • SlowFoodFast sometimes addresses general public health topics related to nutrition, heart disease, blood pressure, and diabetes. Because this is a blog with a personal point of view, my health and food politics entries often include my opinions on the trends I see, and I try to be as blatant as possible about that. None of these articles should be construed as specific medical advice for an individual case. I do try to keep to findings from well-vetted research sources and large, well-controlled studies, and I try not to sensationalize the science (though if they actually come up with a real cure for Type I diabetes in the next couple of years, I'm gonna be dancing in the streets with a hat that would put Carmen Miranda to shame. Consider yourself warned).

Artificial sweeteners causing glucose intolerance

A new study on artificial sweeteners published in Nature goes a long way toward explaining one of the most puzzling findings about sweetened drinks in recent years: that regular consumption of even diet sodas is associated with an increased incidence of obesity and Type II diabetes. Surely, if the sweeteners have no calories and negligible carbohydrate, this shouldn’t be happening? Surely people should be losing weight? But the national statistics have shown that it is, and they’re not.

According to a news summary in The Scientist (Sugar Substitutes, Gut Bacteria, and Glucose Intolerance), researchers at the Weizmann Institute of Science in Rehovot, Israel, demonstrated that repeatedly consuming zero-calorie sweeteners like saccharin, sucralose and aspartame (e.g., Sweet ‘N’ Low, Splenda, and NutraSweet) increases a person’s glucose intolerance by causing changes to his or her gut bacteria.

The researchers did extensive testing on mice first–fed them artificially sweetened water for several weeks and compared glucose tolerance and gut flora with those of control groups that received either glucose solution or plain water. The experimental mice had much higher rates of glucose intolerance than either of the control groups, including the one that was fed glucose solution.

They also had very different gut bacteria composition, which the researchers thought might be causing the changes in glucose tolerance. Wiping out the gut bacteria of control mice with antibiotics and then repopulating with the gut bacteria from sweetener-fed mice caused glucose intolerance in the normally fed mice.

The researchers repeated their experiments on healthy human subjects, and they got the same dramatic results. The timeframe for measurable changes in glucose tolerance was within as little as six days for one of the tests.

Admittedly, the researchers were dosing their subjects with sweetener concentrations at the highest levels currently deemed safe by the FDA. So if you only consume these sweeteners occasionally and in small quantity–say, chewing sugarless gum once in a while–you might not be causing a drastic change in your gut bacteria or glucose tolerance.

But so many people in the US consume diet sodas and artificially sweetened teas and so on in large quantity on a daily basis that it’s possible they’re coming close to the levels used in these experiments. If you consume even half the maximum defined “safe” daily level, you might well be impairing your glucose tolerance significantly. But there may not be a safe level. There’s no saying what level–if any–of sweetener per day is low enough not to change gut bacteria and raise glucose intolerance–it may be a matter of dose or it may be a matter of how long and how regularly people consume these sweeteners.

Glucose tolerance is a measure of your body’s ability to supply insulin quickly and at the right level whenever you eat or drink something with starches or sugars. Part of the gut’s function is to release glucose into the bloodstream, but Continue reading

Paying the piper too young

This winter break we traveled east to celebrate with friends who are as close as family. Our daughters hit it off immediately as they do every couple of years when we manage to get back together. But the contrast between them had become striking in only two years away: our daughter, although (or perhaps because) she’s Type I diabetic and has to pay attention to what she’s eating, is growing up basically healthy. Our friends’ daughter, a few months older, is shorter but 25 pounds heavier and her mother told me she’s spent the past year taking her to a slew of medical specialists to figure out why she’s suddenly having so much pain in her legs and feet.

This girl is wonderful and energetic, full of beans, a live wire, and smart as a whip, but she doesn’t last long on the the gym floor at school, and worse yet, she had to leave the dance floor at her own celebration just as the dj was getting started because her feet and legs started hurting so much she had to sit down within minutes. The night before, she’d taken four ibuprofens for pain in a single day–just from walking around at school and later at the hotel.

So far nobody’s found much except low vitamin D and iron. The spine guy, the neurologist, nobody’s found anything they think could be doing this. The pain clinic is apparently all too ready to dish out a laundry list of pills nobody should be taking at age 13–among them antidepressants, despite the fact that they haven’t found a cause for what is obviously physical pain, and that nobody’s actually diagnosed major clinical depression. My friend is beyond worried for her daughter and exasperated at what is looking like the classic runaround from an otherwise very highly regarded medical system.

Continue reading

AHA: Diet sodas and excess salt both linked to strokes

The latest from the American Heart Association and American Stroke Association’s joint International Conference on Stroke 2011, which is going on in Los Angeles this week from Wednesday through Friday.

Diet soda may raise odds of vascular events; salt linked to stroke risk.

Two large studies on a mixed-race/age/gender/other health status population have just shown that:

1. Drinking diet soda every day increases your risk of a heart attack or stroke in the next 9-10 years. In the study, diet soda regulars had a 48% higher rate than nondrinkers even after accounting for metabolic syndrome and existing or past heart disease.

2. For every 500 milligrams of sodium you eat per day over the AHA’s recommended 1500 max, you have a 16% higher risk of getting a stroke–no matter whether you have high blood pressure or normal blood pressure.

There was one other piece of really bad news announced:

The Centers for Disease Control’s analysts looked at hospitalizations for ischemic stroke (blocked arteries to the brain) between 1994 and 2007 and found that while strokes are decreasing in people over 65 (which is good), they’re INCREASING in children, teens and younger adults. Although older adults still have much higher overall risk of stroke than younger people, the trend toward higher stroke hospitalization rates for younger people is significant and needs to be explored further. Stroke hospitalizations increased by:

  • 31% among boys 5-14; 36% among girls 5-14
  • 51% in men 15-34, 17% in women 15-34
  • 47% in men 35-44, 36% in women 35-44

The CDC researchers didn’t have clear evidence of a cause for the rise in strokes among younger people, but said the rise in average body weight, blood pressure and diabetes, which are known risk factors for stroke, bore a closer look.

The fact that stroke hospitalization rates started rising in children over 5 (the researchers looked at younger children as well but didn’t find an increase under age 5) suggests to me that part of the trend may be due to a more processed diet with higher salt consumption as children head for school. All in all, it gives you the impression that we are the junk food generation, and it’s catching up with us as we speak.