{"id":2772,"date":"2008-06-11T13:05:00","date_gmt":"2008-06-11T13:05:00","guid":{"rendered":"https:\/\/www.willclower.com\/blog\/2008\/06\/failure-reveals-our-culture-of-health.html"},"modified":"2016-08-12T13:40:39","modified_gmt":"2016-08-12T13:40:39","slug":"failure-reveals-our-culture-of-health","status":"publish","type":"post","link":"https:\/\/www.mymedwellness.com\/blog\/?p=2772","title":{"rendered":"Failure Reveals Our Culture of Health"},"content":{"rendered":"

\"\"<\/a>Failure can tell you as much about yourself as the object of the lapse. Two large Type 2 diabetes trials were just presented at this year\u2019s annual meeting of the American Diabetes Association. Each began with a theory that was obviously correct, but somehow failed to give the expected answer based on what we think we know about how the body works.<\/p>\n

The first was a National Institutes of Health project that was forced to halt early because the drug treatment caused the patients to die at an alarming rate. The second study involved participants from 20 countries, and found that their drug treatment turned out to have no effect on preventing heart disease at all.<\/p>\n

Each failure was surprising, given that the theory behind the research effort was so straightforward. When people with Type 2 diabetes die, heart disease is the culprit about two-thirds of the time. One of the hallmarks of diabetes is high blood sugar. Ergo, if you lower the blood sugar, you might also expect to lower the risk of cardiac-related death.<\/p>\n

This may make sense in principle, but in practice the results alternated between irrelevant and harmful. That the body dynamic is more complicated that our hopeful theories is not remarkable. The truly interesting aspect of this particular hypothesis collapse is what it tells us about our culture of health.<\/p>\n

For example, the media reported the science finding in headlines like this from the New York Times, \u201cTight Reign on Blood Sugar Yields No Heart Benefit\u201d. When you read this, you are informed about nothing more than the link between blood sugar and the heart. But what actually happened, in both cases, was that drugs were given to see if they decreased the rate of heart disease in diabetic patients. The pharmacology failed.<\/p>\n

Nevertheless, when the diabetics in the treatment group of the first study were dying more frequently, no one suggested that the experimental medicine could be contributing to their deaths. Rather, it was reported that all those additional heart attacks were likely due to the rapid lowering of blood sugar. In other words, it\u2019s the body\u2019s fault.<\/p>\n

The headlines did not say, \u201cDiabetes Drugs Increase Death Rate.\u201d<\/p>\n

Likewise, when subjects in the most recent study saw no benefit in heart health from the medications, no one speculated that the drugs might be irrelevant. Rather, they puzzled over whether lower blood sugar may help the heart after all.<\/p>\n

The headlines did not say, \u201cDiabetes medication does nothing to help diabetes.\u201d<\/p>\n

These repeated omissions reveal one of our central medical assumptions: pharmacology is the solution. As such, it may reveal the problem with your body, but doesn\u2019t contribute to it. This way of thinking is completely consistent with our scientific interpretations (and media reporting) of research results. Although we have rejected this conclusion in certain cases (if thousands wind up in the hospital with heart valve problems [phen-fen] or we notice that antidepressants and ADHD meds can induce suicides in our children), but these instances are rare and exceptional.<\/p>\n

Seen from the outside, the logical sequence is inescapable: 1) our deference to drugs forms the core of our clinical approach to health; 2) this assumption creates the experiments and treatments we have today; 3) our treatments are failing to control soaring obesity, diabetes, and heart disease rates.<\/p>\n

If we are to make a meaningful change in any of these chronic disease conditions, we must change the culture of health, beginning with our most basic assumptions.<\/p>\n","protected":false},"excerpt":{"rendered":"

Failure can tell you as much about yourself as the object of the lapse. Two large Type 2 diabetes trials were just presented at this year\u2019s annual meeting of the … <\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[],"tags":[417],"class_list":["post-2772","post","type-post","status-publish","format-standard","hentry","tag-will-clower-editorial"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7Qv5g-II","jetpack_likes_enabled":true,"jetpack-related-posts":[{"id":2611,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=2611","url_meta":{"origin":2772,"position":0},"title":"Our Drug Culture","author":"Will Clower","date":"February 11, 2009","format":false,"excerpt":"Failure can tell you as much about yourself as the object of the lapse. Two large Type 2 diabetes trials were just presented at this year\u2019s annual meeting of the American Diabetes Association.Each began with a theory that was \u201cobviously correct,\u201d but somehow failed to give the expected answer based\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2345,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=2345","url_meta":{"origin":2772,"position":1},"title":"Taking Avandia Diabetes Drug? Feeling Lucky?","author":"Will Clower","date":"June 30, 2010","format":false,"excerpt":"Feeling lucky? An analysis of 56 clinical trials found that the diabetes drug Avandia increased the chances of a heart attack by between 28 -- 39 percent!! So, roll your dice, you diabetics. Ask your doctor is increased risk of heart attack is for you. Remember, this study was NOT\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"Bookmark and Share","src":"https:\/\/i0.wp.com\/s7.addthis.com\/static\/btn\/v2\/lg-share-en.gif?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":2514,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=2514","url_meta":{"origin":2772,"position":2},"title":"The truth about weight loss drugs","author":"Will Clower","date":"August 25, 2009","format":false,"excerpt":"Are you taking a weight loss drug? Like Xenical, Orlistat? You may be damaging your liver in the process. U.S. health officials are reviewing reports of liver injury in people who took Roche Holding AG's weight loss drug Xenical or the over-the-counter version sold by GlaxoSmithKline.On Monday, the FDA said\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1959,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=1959","url_meta":{"origin":2772,"position":3},"title":"Diabetes Research Focuses Heavily On Treatments, Not Prevention, Study Finds","author":"Will Clower","date":"April 9, 2013","format":false,"excerpt":"Diabetes prevention strategies. Check out the things in this article associated with diabetes prevention -- like, cheese, nuts, wine, a walk. Sounds a lot like the Mediterranean dietary approach. Interesting, too, that those who live a lifestyle close to this pattern tend, statistically, to have a reduced risk of getting\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":1953,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=1953","url_meta":{"origin":2772,"position":4},"title":"Official Recommendation From Health Authorities? Take Pills For Life.","author":"Will Clower","date":"April 12, 2013","format":false,"excerpt":"When that's all you've got, that's when you know you're lost.\u00a0When your official recommendation (these are from Canada, eh?) defaults to pharmaceuticals over lifestyle changes that free you from those pills, you're committed to Treatment over Prevention.\u00a0Follow @willclowerCDA Guidelines\u00a0(Link To Full Guidelines Here\u00a0):\u00a0All patients with diabetes should start taking statins\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.willclower.com\/blog\/wp-content\/uploads\/2013\/04\/pills.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":12377,"url":"https:\/\/www.mymedwellness.com\/blog\/?p=12377","url_meta":{"origin":2772,"position":5},"title":"Is Coffee Healthy For You?","author":"Will Clower","date":"July 1, 2023","format":false,"excerpt":"Nutritional advice just seems so variable, swinging wildly from one set of ideas to another. And there's no shortage of examples: from eggs to no eggs (and back again), zero calorie drinks to none (it's those artificial sweeteners), eat 3 square meals\/6 mini-meals, wine is bad\/is great\/is kinda good, good\u2026","rel":"","context":"In "Articles"","block_context":{"text":"Articles","link":"https:\/\/www.mymedwellness.com\/blog\/?cat=494"},"img":{"alt_text":"Pic of a coffee cup w coffee in it","src":"https:\/\/i0.wp.com\/www.mymedwellness.com\/blog\/wp-content\/uploads\/2018\/03\/coffee.jpg?fit=717%2C480&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.mymedwellness.com\/blog\/wp-content\/uploads\/2018\/03\/coffee.jpg?fit=717%2C480&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.mymedwellness.com\/blog\/wp-content\/uploads\/2018\/03\/coffee.jpg?fit=717%2C480&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.mymedwellness.com\/blog\/wp-content\/uploads\/2018\/03\/coffee.jpg?fit=717%2C480&ssl=1&resize=700%2C400 2x"},"classes":[]}],"_links":{"self":[{"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/2772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2772"}],"version-history":[{"count":1,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/2772\/revisions"}],"predecessor-version":[{"id":3767,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/2772\/revisions\/3767"}],"wp:attachment":[{"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mymedwellness.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}