


Articles -
Dr. Bernstein Shares His Insights
We all have comfort foods to offset depression, anxiety or stress and these are always high in Carbohydrates. Why are these foods so addictive?? Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S has the answer in this week's feature. COMFORT FOODS
The Diabetes Diet
Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S.
Chapter 6
Weight Loss — If You’re Overweight
Part 3 of Chapter 6
See more features here
Most
of my patients initially feel somewhat deprived, but they are also grateful
to feel more alert and healthier —sometimes more so than they have in
years. I fall into this category myself. My mouth waters whenever I pass a bakery
shop and sniff the aroma of fresh bread, but I am also grateful simply to be
alive and sniffing.
Part 3
COMFORT FOODS AND CARBOHYDRATE ADDICTION
“Contrary to popular belief, the fat in the ice cream or in the crust
of the pie doesn’t make much of a difference.”
A certain level of this may be true not only of those with the thrifty genotype,
but people in general. There’s a reason that some foods are referred to
as comfort foods. They tend to be high in starch or sugar, and such foods are
comforting because they bring about high serum (blood) levels of insulin and
high brain levels of an amino acid called L-tryptophan.
Tryptophan is the dietary precursor to the brain chemical serotonin, which
is deeply involved in sensations of pleasure and satisfaction. It is the brain
chemical affected by the largest number of antidepressants, including Prozac,
Zoloft, and Paxil. When insulin levels in the blood are normal, tryptophan has
to compete with other amino acids to be admitted into the brain. As such, only
small amounts get in. When blood insulin levels are elevated, the competing
amino acids get deposited into muscle and other tissues, and tryptophan gets
a free ride into the brain. What results is a very powerful — if short-lived
— sensation of bliss, reduced stress, decreased depression, and diminished
anxiety. Comfort food becomes a very easy way to self-medicate, to offset depression
or anxiety or stress. When people talk about recreational eating (not in the
gourmet sense, but in the quart-of-ice-creamwhile-watching-TV sense), they’re
really talking about giving themselves pleasure by loading the brain with serotonin.
A frequent television sitcom scenario is the depressed woman who plops down
on the couch with a pie or carton of ice cream, a spoon, and the intention of
eating the whole thing. She’s not really hungry. She’s trying to
make herself feel better. She’s indulging herself, we think, rewarding
herself in a way for enduring one of life’s traumas, and we laugh because
we understand the feeling. But there is a very real biochemical mechanism at
work here. She craves the sugar in the pie or the ice cream not because she’s
hungry but because she knows, consciously or not, that it really will make her
feel better. Contrary to popular belief, the fat in the ice cream or in the
crust of the pie doesn’t make much of a difference. It’s the carbohydrate
that will increase the level of serotonin in her brain and make her feel better
— if only temporarily. The other effect of the carbohydrate is that it
causes her blood sugar to rise and her body to make more insulin; and as she
sits on the couch, the elevated level of insulin in her bloodstream will take
that enormous amount of food she’s just eaten and help her body pack it
away as fat.
When I help patients lose weight, I am usually treating an addiction to the
brain chemical surges that result from comfort food. As I’ve mentioned
before in discussing the “phasing” common in many low-carb diets,
it’s completely counterproductive to help someone through carbohydrate
withdrawal in phase one, then hit them again in phase two with the carbohydrate
you just helped them get over.
On television the actress may never get fat. But for the real-life woman, high
serum insulin levels from eating high carbohydrate foods will cause her to crave
carbohydrate again. If she is a type 1 diabetic making no insulin, she’ll
have to inject a lot of insulin to get her blood sugar down, with the same effect
— more carbohydrate craving and building up of fat reserves. This is the
central reason that the Diabetes Diet has no phasing and no treat days.
Too Be Continued in Chapter 6 Part 4 - GETTING IT OFF AND KEEPING
IT OFF
Dr. Bernstein will be doing another live teleconference call soon.
If you would like to ask a question or just register for the free teleconference
call, just go to www.askdrbernstein.com and register. There were over 600 people
on the last call. More info at www.diabetes911.net
We would like to thank the publisher Little Brown and Company and Dr. Richard
K. Bernstein, for allowing us to provide excerpts from The Diabetes Diet.
Copyright © 2005 by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form or by
any electronic or mechanical means, including information storage and retrieval
systems, without permission in writing from the publisher, except by a reviewer
who may quote brief passages in a review.
Author’s Note
This book is not intended as a substitute for professional medical care. The
reader should regularly consult a physician for all health-related problems
and routine care.
For information on how you can purchase Diabetes
Diet, go to www.Diabetes-solution.net
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The
Diabetes Diet
Dr. Bernstein's Low-Carbohydrate Solution
Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S.
In the midst of an obesity epidemic, Americans
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http://www.diabetes911.net/diabetesdiet.php
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Richard K. Bernstein, M.D., F.A.C.E., F.A.C.N., C.W.S.
Dr. Bernstein is a true pioneer in developing practical approaches to
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in this country This book should be in the library of every diabetic patient,
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M.D., M.P.H. Director, Division of Diabetes Translation, National Center
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Richard K.
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and its complications. His private practice in Mamaroneck, New York, is
devoted solely to diabetes and prediabetic conditions.
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