How often are we told that a specific drug is wonderful and is therefore essential if a disease is to be treated successfully or to be prevented. The hard reality is that this begs an awful lot of questions and is only one minor aspect of the information that anyone considering the use of the drug should fully appreciate. I suggest that most people would be interested in the following issues: What are the chances that the person will benefit? Most people assume that any drug will have a beneficial effect if/when the drug is taken. In fact, there are extremely few where the likelihood is 100% certain that it will work for all. It is important to understand the “Number Needed to Treat (NNT)”. This is the number of people who have to be treated for ONE to benefit. In those who have had previous heart disease the NNT website concludes that after 5 years of daily statin therapy study subjects achieved a 1.2% lower chance of death, a 2.6% lower chance of heart attack, and a 0.8% lower chance of stroke (1). Or to put it another way 19 out of 20 people who took the drugs for five years saw no effect. The other side of the coin is that there are risks of side effects, which can be damaging to a person’s health. This is...Read More
I have just been reading a paper published in 1999, which considers data from the UK Prospective Diabetes Control (UKPDS) (1). It is based on the results of patients who have been advised to alter their diet and/or be treated with different drugs. The focus is on the blood glucose (BG) and glycated haemoglobin (HbA1c) levels. Those who have an HbA1c of 7% or less are regarded as successful. The patients were followed for up to 9 years. Treatments Patients were encouraged by a dietitian to consume a diet that was low in fat, high in carbohydrates and high in fibre. The results for the different treatments are shown in Table 1. Table 1. The proportions of patients that achieved HbA1c lower than 7% as the study progressed. HBA1c < 7% 3 years 6 years 9 years Diet 25 12 9 Insulin 47 37 28 Chlorpropamide 53 39 28 Glyburide 47 29 20 Sulphonyl urea 50 34 24 Values are expressed as percentages of those who commenced the treatment. What comes through here very clearly is that without exception the diet and all the drug treatments were not successful in the long term. It is clear that the proportion that manage to stay below the 7% HbA1c decreased with time. So essentially what this means is the disease deteriorates with time for most of the patients. As...Read More
I am most grateful to Dr Antti Heikkilä for permission to post this article here. It was first published in GreenMed Info. Background Insulin resistance is a state where cells cannot take properly sugar from blood to use it as an energy source. Cells become resistant to the action of insulin. It therefore takes more insulin to keep blood sugar in balance. People with insulin resistance syndrome will consequently have normal blood sugar levels but elevated insulin level Measuring insulin resistance There is no single test that would reliably measure insulin resistance. The diagnosis can be made through clinical symptoms and some laboratory tests. The insulin fasting value is an essential test but it is not the only one. The insulin values may temporarily vary without being insulin resistant. Another indicative laboratory test is The Triglyceride-to-HDL Cholesterol Ratio. In insulin resistance triglycerides start to rise and HDL decrease. The more important is TG/HDL-C ratio must be less than 2 in US values and in countries who use mmol/l like Europe, Australia and Canada TG/HDL-C less than 0.87. Normal official fasting values of serum insulin are 2–20mU/L, but I think that’s too high. It should be less than 5mU/L. Symptoms and diseases linked to insulin resistance We know that continuing insulin resistance leads to metabolic syndrome and thus prediabetes but it leads to many other diseases as well. According to studies 70% those...Read More
STOP PRESS! Healthy Eating: The Big Mistake is now available to pre-order on Amazon Kindle The kindle version of my book is only £0.99 until Feb 5th Kindle UK Version Kindle US Version You can also purchase a hard copy from my publishers at http://thebighealthyeatingmistake.co.uk/ I am delighted to announce that the book I have written with the help and support of Marika Sboros will be released on 8th February. It has taken the best part of three years to complete. The main focus is on the fundamentally flawed dietary guidelines that have had such a disastrous impact on the state of public health all over the world. We have now reached the point where there is absolutely no doubt that recommendations such as that in the UK, which advises the population to:“base meals on carbohydrates” are totally incorrect and directly responsible for ill-health on a scale that is unimaginable. Despite the overwhelming evidence, policies based on false premises continue to be implemented and there is very powerful resistance to any attempt to have them revised. As a consequence many people are given advice by the mainstream health professionals that causes a deterioration in their condition. Meanwhile, at the same time many are discovering for themselves that their diseases can be controlled or even reversed by following advice that is in direct conflict with the official line. Assessment of...Read More
299. Another Medical Martyr, Dr. Waney Squier (Part Four. The Implications of the Actions by the Tribunal and the Court)
A shortage of expert witnessess The fall-out from these decisions are very serious indeed. Although an expert may genuinely believe that he/she is expressing an opinion based on knowledge and experience, has been properly instructed and has been accepted as an expert by the court, a lay disciplinary tribunal can still override this. Despite the fact that the members of the tribunal themselves lack expertise, they have nevertheless concluded that a physician is providing evidence that is outside her area of competence. Not only that, they have decided that Dr. Squier should be struck off the medical register. Although this was reversed by the High Court, she was banned from acting as an expert witness for a period of three years. Clearly this experience has been extremely difficult and probably traumatic for Dr. Squier. Even more important is the message it sends out to other people who are could act as expert witnesses in other cases involving SBS. In view of the risks to a person’s reputation and career who can blame anyone for declining an invitation to be an expert witness in a case where the determination of the cause of SBS is critical. This is confirmed by the fact that two other SBS sceptics Dr Irene Scheimberg and Dr Marta Cohen have stopped giving evidence. A similar stance has been taken by two supporters of the diagnosis...Read More
- 303. Statins: Why it is crucial to have a comprehensive picture
- 302. The Conventional Treatment of Type 2 Diabetes (T2D)
- 301. Many Faces of Insulin Resistance
- 300. HEALTHY EATING: THE BIG MISTAKE
- 299. Another Medical Martyr, Dr. Waney Squier (Part Four. The Implications of the Actions by the Tribunal and the Court)
- Lyon Heart Study shows death rate down by over 50% with dietary change. Much superior to statins: no side effects.
about 38 mins ago
- Beware of insulin when used to treat T2D. Minimal benefits but there may be adverse side effects, including weight… https://t.co/FI97S11QUQ
about 58 mins ago
- The USA has exhorbitant expenditure on medicine/healthcare but relatively poor public health.
about 1 hour ago
- How powerful vested interests in the US were able to influence the dietary advice that has world wide impact.
about 2 hours ago
- New developments in healthcare present patients with opportunities to take much more personal control.
about 2 hours ago