>> Dr. Terry Simpson: This is part four of our series, Food Isn't a
Speaker:Prescription Pad. And right at the start, let's be
Speaker:clear. Food is not medicine. Yes, food is
Speaker:powerful. Yes, food can lower risk, but food is
Speaker:not a replacement for medicine. Clearly, diets
Speaker:rich in ultra processed food lead to more
Speaker:problems. Heart disease, obesity, diabetes,
Speaker:cancers. And the most empowering thing a person
Speaker:can do is, is eat a better diet. Some people think
Speaker:we never had chronic disease before modern times.
Speaker:They blame food. But then they extend their logic
Speaker:to say that if we just had good food, we wouldn't
Speaker:need medicine at all. So let me give you an
Speaker:example of why that isn't true. One of the most
Speaker:powerful stories in all of medicine. It's the
Speaker:early 1920s. Dr. Frederick Banting and his
Speaker:assistant Charles Best are working in Toronto, and
Speaker:they made a discovery that would change the world.
Speaker:At that time, children with diabetes were doomed.
Speaker:The only treatment was a starvation diet so low in
Speaker:calories that a child might live a few extra
Speaker:months. But death was certain. Parents sat
Speaker:helplessly as children wasted away. Hospital wards
Speaker:were filled with kids in diabetic coma, Families
Speaker:waiting for the end. Then came insulin. Dr.
Speaker:Banding went to one of these hospitals and began
Speaker:to inject these children who were laying down
Speaker:comatose. And this is one of the most famous
Speaker:moments in all of medicine. One by one, the
Speaker:comatose children began to stir. They sat up, they
Speaker:asked for food, and they hugged their parents.
Speaker:That discovery was so profound, that moment so
Speaker:profound that Dr. Banti became the fastest person
Speaker:to ever win the Nobel Prize. After medical
Speaker:discovery, insulin became one of the fastest
Speaker:adopted drugs in the history of that time. And
Speaker:here's the lesson. Those children had the best
Speaker:food their families could provide. But food wasn't
Speaker:enough. Only medicine. Insulin saved their lives.
Speaker:Today, we're going to make sense of the madness of
Speaker:diet and diabetes. I am your Chief Medical
Speaker:Explanationist, Dr. Terri Simpson, and this is
Speaker:Fork U Fork University, where we bust a few myths,
Speaker:make sense of the madness, and teach you a little
Speaker:bit about food and medicine.
Speaker:Let's start with beans. Beans are a legume, and
Speaker:other legumes are some of the best foods that you
Speaker:can eat to help control your blood sugar. They're
Speaker:packed with soluble fiber, which binds glucose and
Speaker:slows absorption in your gut. They're rich in
Speaker:plant protein, which keeps energy steady. And they
Speaker:have a low glycemic index so they don't spike
Speaker:blood sugar like white bread or soda. Studies show
Speaker:that people who eat beans regularly can lower
Speaker:their hemoglobin A1C that long term marker of
Speaker:blood sugar, about 0.3 to 0.5%. That is a real
Speaker:effect from food. And beans aren't just healthy,
Speaker:they're practical. They're inexpensive, available
Speaker:everywhere. And humans have probably eaten beans
Speaker:longer than any other protein source. We're
Speaker:natural hunters. Not really. I mean, I couldn't
Speaker:hit the broadside of a barn. But beans, well,
Speaker:beans were always there. And in the Mediterranean
Speaker:region for many years, including the times of the
Speaker:gladiators, beans were the primary source of
Speaker:protein. Before I compare beans to medicine, let's
Speaker:step back. There are two types of diabetes. Type 1
Speaker:diabetes is where the pancreas loses its ability
Speaker:to make insulin. It's called juvenile diabetes.
Speaker:That was the diabetes that we talked about with
Speaker:Dr. Banting. And best. Usually it is an immune
Speaker:system that destroys the insulin producing cells
Speaker:of the pancreas. And without insulin, glucose
Speaker:cannot enter your cells. Glucose builds up in the
Speaker:bloodstream. Without insulin, life cannot
Speaker:continue, which is why every type 1 diabetic
Speaker:patient needs insulin from the day of diagnosis.
Speaker:Type 2 diabetes, which used to be called adult
Speaker:onset, the pancreas still makes insulin, but the
Speaker:body cells are resistant to it. So the pancreas
Speaker:works harder and harder. And over time, the
Speaker:pancreas can wear out, which is why many type 2
Speaker:diabetics eventually need insulin too, because
Speaker:that's the natural course of the disease. So
Speaker:whether it's type 1 or type 2 food has never been
Speaker:enough. Back to beans. They help, but they are not
Speaker:a drug we call metformin. Metformin is the first
Speaker:line drug for type 2 diabetes. It lowers A1C by
Speaker:about 1 or 2%. That's two to four times more than
Speaker:beans. And metformin also reduces your risk of
Speaker:heart disease, and it has decades of safety data
Speaker:behind it. So, yeah, beans are great, but if your
Speaker:A1C is 9 or 10, no amount of chili or hummus is
Speaker:going to bring you to target. Medicine does that.
Speaker:Food lays the foundation. Medicine does the heavy
Speaker:lifting. And to be clear, the best overall diet
Speaker:for diabetes isn't low carb or keto or carnivore.
Speaker:It isn't some fad diet where you cut out entire
Speaker:food groups. The best diet for diabetes, shown
Speaker:again and again and again in multiple studies
Speaker:across many populations, is the Mediterranean
Speaker:diet. That means fruits, vegetables, uh, olive
Speaker:oils, nuts, legumes, beans, and whole grains. Now,
Speaker:whole grains might sound controversial, especially
Speaker:to those who grew up in the era of low carb
Speaker:madness, but the science is clear. Whole grains
Speaker:are and continue to be a healthy choice for
Speaker:patients with Diabetes. In fact, whole grains are
Speaker:a lot healthier than bacon. But the Mediterranean
Speaker:diet doesn't lower blood sugar, lowers
Speaker:cholesterol, improves blood pressure, reduces
Speaker:inflammation, protects the heart. And unlike crash
Speaker:diets, it's sustainable. It's a way people can and
Speaker:do eat for a lifetime. But even the Mediterranean
Speaker:diet is not medicine. Here's some practical tips
Speaker:for beans. So how do you actually use them to your
Speaker:advantage? Swap ground beef for black beans and
Speaker:chili. Add lentils to soups or stews, which
Speaker:thicken them beautifully. Roast chickpeas for a
Speaker:crunchy snack. Use hummus instead of cheese
Speaker:spread. And toss peas in rice and pasta or grain
Speaker:bowls. Those are simple swaps. They add up to
Speaker:lowering blood sugar, lowering cholesterol, and
Speaker:and keeping patients feeling full. And when
Speaker:they're a part of the Mediterranean diet, the
Speaker:effect is multiplied. All right, scam time. Keto
Speaker:and carnivore diets get hyped as diabetic cures.
Speaker:They can lower glucose in the short term, but at
Speaker:the cost of raising saturated fat. For people with
Speaker:diabetes already at higher risk of heart disease,
Speaker:that's dangerous. It's pouring gasoline on the
Speaker:fire. And the insulin claim? False. Protein spikes
Speaker:insulin. So the idea that no carbs means no
Speaker:insulin is a fantasy. And then there's cinnamon
Speaker:supplements. Cinnamon and oatmeal. Delicious
Speaker:cinnamon capsules as a cure. Worthless. The
Speaker:evidence is minimal. If someone's selling you
Speaker:that, they're selling you snake oil and not
Speaker:science. So here's the truth. Beans are not
Speaker:metformin. Yes, food matters. Yes, food lowers
Speaker:risk. Food empowers you to take control. But food
Speaker:is not medicine. Food is food. Medicine is
Speaker:medicine. Together, they save lives. This has been
Speaker:episode four of, uh, food isn't a prescription
Speaker:pad. Next time, when green tea and broccoli aren't
Speaker:chemotherapy, why Prevention is not the same as
Speaker:cure. I'm Dr. Terry Simpson, your chief medical
Speaker:explanationist. Fork U is produced by Simpler
Speaker:Media and the pod God, Mr. Evo Terra. For
Speaker:references and more, visit YourDoctorsOrders.com
Speaker:and Forku.com and check out my substack newsletter
Speaker:where I dig deeper into the science@drsimpson.com
Speaker:and here's the disclaimer. I am a board certified
Speaker:physician, but I am not your physician. This
Speaker:podcast is for education, not personal medical
Speaker:advice. Always talk to your board certified
Speaker:physician and a registered dietitian before making
Speaker:changes for your health. All right, everybody,
Speaker:have a good week.
Speaker:Teivo, my favorite bean dish is hummus. What's
Speaker:yours?
Speaker:>> Speaker B: Would you like to see the 40 pounds of dried
Speaker:chickpeas. We have that most of the time, gets
Speaker:made into hummus. Also cowboy, uh, caviar, great
Speaker:beans.