180 Degree Health: Ray Peat - Sugar vs. Starch
I  didn’t want to give up on the Ray Peat topic altogether now. There is  still a lot to be said. In fact, his lengthy article titled 
“Glycemia, Starch, and Sugar in context”  is a perfect article to deconstruct. It is full of many of Peat’s main  philosophies about stress hormones, blood sugar regulation, metabolism,  gelatin, polyunsaturated fat – you name it. It’s all there in that  article. And it’s the perfect article to examine because some of it is  great, and some of it is downright silly. It’s a great blend. In fact,  it will probably take many posts to break this single article down – but  once we are through most of you will have a pretty good idea about Ray  Peat, and also will be left, hopefully, with a balanced view of him as a  researcher (which is something few can claim – most either think he is a  total wacko or is like the Messiah of nutrition).
I will not put every paragraph in the article under the microscope, but  we will start with a few that I have selected to discuss and keep the  conversation going for a while. In so doing, hopefully we’ll get  somewhere. Begin! (spoken in the tone of the original Mortal Kombat  video game).
“Judging by present and past  statements of the American Dietetic Association, I think some kind of  institutional brain defect might account for their recommendations.  Although the dietetic association now feebly acknowledges that sugars  don't raise the blood sugar more quickly than starches do, they can't  get away from their absurd old recommendations, which were never  scientifically justified: “Eat more starches, such as bread, cereal, and  starchy vegetables--6 servings a day or more. Start the day with cold  (dry) cereal with nonfat/skim milk or a bagel with one teaspoon of  jelly/jam. Put starch center stage--pasta with tomato sauce, baked  potato with chili, rice and stir-fried beef and vegetables. Add cooked  black beans, corn, or garbanzo beans (chickpeas) to salads or  casseroles.”
Peat, in his disdain for mainstream nutrition beliefs, is poking fun at  the dietary recommendation to base the diet primarily around starches  and not simple sugars. Of course, these recommendations were based on  widely held but later discovered-to-be-mistaken beliefs that complex  carbohydrates – like grains, potatoes, corn, and beans, digested more  slowly than simple sugars comprised of less “complex” molecules. It had  been known for ages that these foods generally led to more stable blood  glucose levels (measured over a 6-hour time period as opposed to just  basing everything off of what happens in the first half hour), and were  great preventatives against hypoglycemia unlike the foods listed by  early anti-sugar author E.M. Abrahamson (1951) who gave the following  prescription for those prone to hypoglycemia,
 “no sugar, candy, or  other sweets, no cake with icing, no pies or other pastry, no ice cream,  no honey, no syrup, no grape juice or prune juice. And regrettably, our  string of ‘no’s’ includes cocktails, wines, cordials, and beer.  Finally, if you have hyperinsulinism, you must avoid caffeine as you  would the pest.”
Of course, there are many diseases including hereditary fructose  intolerance and various glycogen storage diseases in which starch is a  completely safe food to eat, but the ingestion of any of the foods  listed by Abrahamson containing simple sugars can cause life-threatening  bouts of hypoglycemia. This has nothing to do with the absorption rate  of the carbohydrates, and in my experience the absorption rate of the  carbohydrates has nothing to do with a food’s ability to trigger  hypoglycemia. Quite simply, absorption rate or “glycemic index” of foods  or the insulin spike after eating rapidly-absorbed starches has nothing  to do with hypoglycemia. Thinking that it does is just another  pseudoscientific sasquatch.
Thinking that such recommendations were made due to some brain defect is  even more offensive, as many of the mantras of mainstream nutrition are  based on the pioneering work of Denis Burkitt, Hugh Trowell, T.L.  Cleave, and others who spent time in Africa gathering hard data on the  rates, or absence I should say, of many cancers, heart disease,  diabetes, obesity, constipation, hemorrhoids, varicose veins,  appendicitis, diverticulosis, and many others on diets built around  starchy agricultural staples – notably whole grains, corn, root  vegetables, and the like. It’s not like these beliefs were pulled out of  thin air as part of some government propaganda machine. And as Burkitt  witnessed, the more food that was displaced with whole grains and  tubers, the lower the fasting glucose level of the population.
"The Dietetic Association's  association with General Mills, the breakfast cereal empire, (and  Kellog, Nabisco, and many other food industry giants) might have  something to do with their starchy opinions. Starch-grain embolisms can  cause brain damage, but major money can also make people say stupid  things."
These food companies make more money the more high-fructose corn syrup  and vegetable oil they manage to squeeze into the food, as these are  generally much cheaper calories than those in villainous grains or  potatoes (although they are still plenty cheap). More importantly, the  more fat and extra sweet HFCS in the product, the more of it consumers  buy and eat because sugar – particularly high-fructose corn syrup  because it is sweeter, and fat, are more stimulating than starch,  generally-speaking (although there are plenty of people that get more  riled up about chips, Cheez-its, and baguettes than sugar-laden sweets).  To think that such companies are behind some massive scheme to steer  people towards vile corn and potatoes and away from wholesome simple  sugar is comical to put it lightly.
"In an old experiment, a rat was  tube-fed ten grams of corn-starch paste, and then anesthetized. Ten  minutes after the massive tube feeding, the professor told the students  to find how far the starch had moved along the alimentary canal. No  trace of the white paste could be found, demonstrating the speed with  which starch can be digested and absorbed. The very rapid rise of blood  sugar stimulates massive release of insulin, and rapidly converts much  of the carbohydrate into fat." 
I smell more sasquatch here. In fact, the smell is so strong the John  Lithgow is outside my window shouting the name “Harry” over and over.  Jack Black and Kyle Gass are here with a bottle of aerosol Trap B Gone  and are setting up a drumset as we speak. Sasquatch’s “drumming is  kickass” they tell me.
Insulin converting carbohydrate into fat? That’s not how insulin works  at all. In fact, a solid debunking took place a couple months back at 
http://www.carbsanity.blogspot.com/  in which it was shown that the body is in negative fat balance (burning  more fat than storing) during postprandial insulin spikes – like the  kind you get after having some good old corn starch. On top of that, the  easiest carbohydrate to convert to fat has been shown time and time and  time and time and time again to be the one that travels to the liver  and is digested most slowly. It’s called fructose. Not only does the  presence of fat make fat storage easier, if fructose is converted to fat  in the liver (which it can be under certain circumstances) it increases  insulin resistance, which can lead to increased fat storage (insulin  lowers appetite and increases metabolic rate, so becoming unresponsive  to the hormone has a tendency to increase appetite and reduce metabolic  rate).
Insulin is also intricately tied to leptin, the master hormone of  managing the calories in/calories out equation. Surges in insulin cause  surges in leptin, which lowers appetite and increases the metabolic  rate. Stating that making insulin rise leads to becoming fat is a  complete misrepresentation of the bigger picture. In fact, starch-based  diets usually lower appetite dramatically, and many starchy foods like  potatoes and oats are known to satisfy the appetite on fewer calories  than just about any foods known (higher “satiety index”).
Speaking of corn starch specifically, this has actually been used  successfully by Francine Kauffman of the American Diabetes Association  in the prevention of early morning hypoglycemia in diabetics – more  evidence that absorption rate is not the prime determinant of whether or  not a particular carbohydrate goes on to trigger hypoglycemia and  general blood glucose dysregulation.
Anyway, don’t get the wrong idea here. I’ve been eating simple sugars in  favor of starches myself for many months now and have noticed some  apparent benefits. Many seem to do better with sugars than starches for  keeping hands and feet warm, producing more energy, getting better sleep  – probably due to enhanced liver glycogen storage, and so forth. Many  fare better from a digestive standpoint on fruit, juice, and sugar than  more complex carbohydrate molecules. Some even report a lowering of  appetite on sugar vs. starches, especially with the consumption of whole  fruits which, like most starchy staples, are very high satiety index  foods. Fruit is also generally more nutritious and hypoallergenic.
So be open to either, or a combination of the two. It’s up to everyone  to experiment for themselves to see what the relative benefits and  drawbacks of the two basic types of carbohydrates are. But the point  here is to shoot down Peat’s wacky and erroneous biochemical  justification of the outright superiority of sugar over starch. There is  not a clear cut right or wrong carbohydrate, and the mainstream belief  that “complex” carbohydrates are superior to simple sugars is not the  result of a governmental or agribusiness conspiracy.
In the next episode, we will continue looking closer at Ray’s  cookie-cutter and false portrayal of insulin as being a hormone that, if  driven up, will drive blood sugar down and cause hypoglycemia. Don’t  worry, Ray’s got some tremendous gems in this article as well, as he is  one of the few that actually does have some understanding of type 2  diabetes, realizes that it is a shortage, not a surplus of glucose at  the cellular level, and so on.
For more discussion on the sugar and starch issue, read this free book on 
how to raise your metabolism.