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2013-03-26 9:42 AM

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Subject: Increased sugar consumption linked to increase in diabetes rates

Interesting article in PLOS One (full article available free).  From the abstract

Using econometric models of repeated cross-sectional data on diabetes and nutritional components of food from 175 countries, we found that every 150 kcal/person/day increase in sugar availability (about one can of soda/day) was associated with increased diabetes prevalence by 1.1% (p <0.001) after testing for potential selection biases and controlling for other food types (including fibers, meats, fruits, oils, cereals), total calories, overweight and obesity, period-effects, and several socioeconomic variables such as aging, urbanization and income. No other food types yielded significant individual associations with diabetes prevalence after controlling for obesity and other confounders.

Editorial in the NY Times likens it to tobacco studies.

Will this make you think twice about your sugar consumption?



2013-03-26 9:49 AM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Are they still paying people to study this? I thought it was as common knowledge as say... "drinking alcohol impairs driving." Every knows it already, but some people will never give up their drugs.
2013-03-26 9:55 AM
in reply to: #4674744

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

Zero2Athlete - 2013-03-26 10:49 AM Are they still paying people to study this? I thought it was as common knowledge as say... "drinking alcohol impairs driving." Every knows it already, but some people will never give up their drugs.

I don't know that it's ever been shown in this way before.  Just because something is "common knowledge" doesn't make it right.  When I was pregnant, I had lots of older women (70s+) tell me not to lift my hands above my head because my baby's cord would get wrapped around her neck; clearly not true.

2013-03-26 10:13 AM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

I'm in the middle of a whole foods challenge that eliminates sugar (except for whole fruit) and natural & artificial sweeteners (including honey, agave, etc.) - among other things. It's been entirely eye-opening how much sugar is added to products that simply don't need it. Whyyyy?

My family has a long history with diabetes, including my sister being diagnosed with Type 1 in her 30s. I'll likely try to continue limiting my sugar intake after the challenge is over. It takes WAY more effort to scrutinize labels and make nearly every meal home-made (with REAL food) but it just might be worth it for me.

2013-03-26 10:16 AM
in reply to: #4674723

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Master
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

No kidding.  Never would have guessed.  In other news, the world is not flat!

2013-03-26 10:20 AM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

Shocking.

I suspect it's more likely the inactivity than the sugar per se.  If you exercise and keep yourself lean, you can probably eat as much sugar as you want.

If you are sedentary, not so much.



2013-03-26 10:22 AM
in reply to: #4674833

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
datlas - 2013-03-26 11:20 AM

Shocking.

I suspect it's more likely the inactivity than the sugar per se.  If you exercise and keep yourself lean, you can probably eat as much sugar as you want.

If you are sedentary, not so much.

Actually, no! 

"The impact of sugar on diabetes was independent of sedentary behavior and alcohol use, and the effect was modified but not confounded by obesity of overweight"

2013-03-26 10:27 AM
in reply to: #4674833

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
datlas - 2013-03-26 10:20 AM

Shocking.

I suspect it's more likely the inactivity than the sugar per se.  If you exercise and keep yourself lean, you can probably eat as much sugar as you want.

If you are sedentary, not so much.

This is not true for T1s and most T2 diabetics.  Exercise helps control blood glucose a bit, but its not enough.  Portion control and eating healthy is very important in managing blood sugar.

2013-03-26 10:46 AM
in reply to: #4674836

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Artemis - 2013-03-26 10:22 AM
datlas - 2013-03-26 11:20 AM

Shocking.

I suspect it's more likely the inactivity than the sugar per se.  If you exercise and keep yourself lean, you can probably eat as much sugar as you want.

If you are sedentary, not so much.

Actually, no! 

"The impact of sugar on diabetes was independent of sedentary behavior and alcohol use, and the effect was modified but not confounded by obesity of overweight"

Interesting....

2013-03-26 11:16 AM
in reply to: #4674767

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Artemis - 2013-03-26 10:55 AM

Zero2Athlete - 2013-03-26 10:49 AM Are they still paying people to study this? I thought it was as common knowledge as say... "drinking alcohol impairs driving." Every knows it already, but some people will never give up their drugs.

I don't know that it's ever been shown in this way before.  Just because something is "common knowledge" doesn't make it right.  When I was pregnant, I had lots of older women (70s+) tell me not to lift my hands above my head because my baby's cord would get wrapped around her neck; clearly not true.

I didn't read this particular study, but there have been other studies indicating the link.  Maybe there is something new in here, but really...

2013-03-26 11:21 AM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Does anyone else aside from me find it funny that this thread is followed by one called "Maltodextrin is awesome"?????


2013-03-26 11:24 AM
in reply to: #4674967

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Zero2Athlete - 2013-03-26 12:16 PM
Artemis - 2013-03-26 10:55 AM

Zero2Athlete - 2013-03-26 10:49 AM Are they still paying people to study this? I thought it was as common knowledge as say... "drinking alcohol impairs driving." Every knows it already, but some people will never give up their drugs.

I don't know that it's ever been shown in this way before.  Just because something is "common knowledge" doesn't make it right.  When I was pregnant, I had lots of older women (70s+) tell me not to lift my hands above my head because my baby's cord would get wrapped around her neck; clearly not true.

I didn't read this particular study, but there have been other studies indicating the link.  Maybe there is something new in here, but really...

What's new is that increased sugar consumption was the only thing they found leading to the increased diabetes rate; what you ate, where you lived, how much you exercised had no effect on it. 

2013-03-26 11:36 AM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Ahh, gotcha.  Still, I believe there was plenty of evidence before to convict sugar of crimes against humanity.  Not saying I don't like my sugar fix as much as the next junkee...just that I believe it's bad.  Kinda like this girl I was seeing a while ago - I knew she was bad for me, but I kept going back...
2013-03-26 11:39 AM
in reply to: #4674997

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Artemis - 2013-03-26 10:24 AM
Zero2Athlete - 2013-03-26 12:16 PM
Artemis - 2013-03-26 10:55 AM

Zero2Athlete - 2013-03-26 10:49 AM Are they still paying people to study this? I thought it was as common knowledge as say... "drinking alcohol impairs driving." Every knows it already, but some people will never give up their drugs.

I don't know that it's ever been shown in this way before.  Just because something is "common knowledge" doesn't make it right.  When I was pregnant, I had lots of older women (70s+) tell me not to lift my hands above my head because my baby's cord would get wrapped around her neck; clearly not true.

I didn't read this particular study, but there have been other studies indicating the link.  Maybe there is something new in here, but really...

What's new is that increased sugar consumption was the only thing they found leading to the increased diabetes rate; what you ate, where you lived, how much you exercised had no effect on it. 

That's a very good point. So many people (my father is Type II) think they can eat what they want and "walk it off". Apparently not so.

2013-03-26 12:34 PM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

I have not had a chance to read through the whole article since I am at work but do they discuss sugar availability in terms of natural vs. added. For instance I eat a lot of fruits and veggies. Fruits in particular can be high in sugar but it is all natural (unless you are dumping packets of sugar on your apple as you eat it or dipping slices into carmel).

Luckily for me my wife is doing a "whole foods" challenge so we have pretty much steered clear for the last 6-8 weeks of packages foods or foods with added sugar etc. but I would still be interested to know if they were just accounting for total sugar or added sugar.

2013-03-26 12:46 PM
in reply to: #4674767

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Hardly surprising


Edited by Dnn 2013-03-26 12:47 PM


2013-03-26 12:56 PM
in reply to: #4675127

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
bel83 - 2013-03-26 1:34 PM

I have not had a chance to read through the whole article since I am at work but do they discuss sugar availability in terms of natural vs. added. For instance I eat a lot of fruits and veggies. Fruits in particular can be high in sugar but it is all natural (unless you are dumping packets of sugar on your apple as you eat it or dipping slices into carmel).

Luckily for me my wife is doing a "whole foods" challenge so we have pretty much steered clear for the last 6-8 weeks of packages foods or foods with added sugar etc. but I would still be interested to know if they were just accounting for total sugar or added sugar.

They have a few categories. "Sugar" is calories from sugar, sugar crops, and sweeteners.  Also, fiber, fruits, cereal, meat, and oil.  There was not a significant increased risk from any of these categories except the sugar. 

2013-03-26 1:24 PM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Artemis - 2013-03-26 10:56 AM
bel83 - 2013-03-26 1:34 PM

I have not had a chance to read through the whole article since I am at work but do they discuss sugar availability in terms of natural vs. added. For instance I eat a lot of fruits and veggies. Fruits in particular can be high in sugar but it is all natural (unless you are dumping packets of sugar on your apple as you eat it or dipping slices into carmel).

Luckily for me my wife is doing a "whole foods" challenge so we have pretty much steered clear for the last 6-8 weeks of packages foods or foods with added sugar etc. but I would still be interested to know if they were just accounting for total sugar or added sugar.

They have a few categories. "Sugar" is calories from sugar, sugar crops, and sweeteners.  Also, fiber, fruits, cereal, meat, and oil.  There was not a significant increased risk from any of these categories except the sugar. 

Thanks! Can't wait to read the whole article. Sounds like, from what you said, only the added sugar are accounted for in the sugar category and only that category led to an increased risk .

2013-03-26 2:50 PM
in reply to: #4674723

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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

I have type 2. I test glucose many times a day: before meals, after meals, first thing in the morning, before exercise, after exercise, before bed, in the middle of the night. What I have found is that periods of time with lower physical activity typically yeild a higher glucose reading; however exercise does, at least in my case, postivitively affect blood sugar though not necessarily as an imediate result. In the short term, intenstive physical exercise can increase blood surgar.

For example a 15 minute immediate postprandial walk nearly always yeilds a lower blood sugar reading taken 90-120 minutes after a meal.

2013-03-26 4:34 PM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

What should be emphasized I think is that not all sugars are equal in increasing the risk for diabetes. What is commonly referred to as natural versus processed/refined sugar is better thought of in terms of glycemic index. Some sugars have a high glycemic index (refined sugar), others have a low glycemic index (agave syrup). Basically, the glycemic index is a measure of how fast your blood sugar level will rise after you've ingested that particular food. From a physiological point of view, when your blood sugar level rises quickly, the beta cells of the pancreas are stressed to quickly produce enough insulin to counteract this rise (leading to a slight overproduction). Over years, these cells tire from working in overdrive all the time. In addition, the organs that are responsible for storing away this extra sugar in the blood,i.e. the liver and muscles, become accustomed to higher levels of sugar and insulin, and therefore stop responding to lower levels of insulin (what they call insulin resistance). This, in turn, leads to type 2 diabetes. In other words, not all sugars are bad. A quick google search will help you identify which sugars have a low glycemic index. While honey for example, is natural, it does have a high glycemic index and therefore increases the risk of diabetes. Agave syrup is one of the sugars that has the lowest glycemic index.

Oh and high glycemic index sugars are not only linked to diabetes, but also many types of cancer.

2013-03-26 5:08 PM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
I think it's important to note that they are talking about type 2 diabetes here.  Type 1 diabetes is an auto-immune disease and not associated with increase in sugar intake.  I'm a type 1 and it frustrates me to no end that people lump all diabetics into one category!


2013-03-26 5:14 PM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

kpringle - 2013-03-26 4:08 PMI think it's important to note that they are talking about type 2 diabetes here.  Type 1 diabetes is an auto-immune disease and not associated with increase in sugar intake.  I'm a type 1 and it frustrates me to no end that people lump all diabetics into one category!

I respectfully disagree. I think most people, at least the type of people hanging out in BT are aware that Type 1 is hereditary (if that is the right term) vs. Type II which is a diet/lifestyle/health issue.

Of course, I'm sure you get inappropriate reactions from people who don't know the difference.

ETA: the article specifically addresses Type II



Edited by rrrunner 2013-03-26 5:20 PM
2013-03-26 8:20 PM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates

Thank you for your comment kpringle!  I too have Type 1 diabetes, which has nothing to do with how much sugar I did or didn't eat.  It's frustrating that the NYT article didn't make the distinction between Type 1 and Type 2 in their headline as the study did, but this is typical of how the media presesnts diabetes. 

I'm sure it's also frustrating to those with Type 2 to feel as if the world blames them for their disease.  Noone sets out to cause themselves to have a life altering disease, regardless of how it develops.  Not saying that anyone here is playing that blame game, but trust me, that attitude is out there and it gets very tiresome for all of us who walk the tightrope of living with diabetes each day.  Anyway, I think the study is interesting.  And if it provides more insight into how Type 2 diabetes can be prevented in some cases, then that is a good thing.

2013-03-27 5:11 AM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
Until you have a life changing event, most people do not care about their food intake. I see everyone at work drinking sugary sodas and candy bars several times a day. I try to warn them without being too naggy but to little avail.

My world changed 4 years ago when my daughter was dx with T1D. After a crash course in nutrition and learning how to read labels, I figured it out.

I still struggle with my sugar and wheat addiction everyday. If I don't buy it in the store then I don't have to deal with it at home.

Life is a journey. Never stop learning.
2013-03-27 5:27 AM
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Subject: RE: Increased sugar consumption linked to increase in diabetes rates
rrrunner - 2013-03-26 5:14 PM

kpringle - 2013-03-26 4:08 PMI think it's important to note that they are talking about type 2 diabetes here.  Type 1 diabetes is an auto-immune disease and not associated with increase in sugar intake.  I'm a type 1 and it frustrates me to no end that people lump all diabetics into one category!

I respectfully disagree. I think most people, at least the type of people hanging out in BT are aware that Type 1 is hereditary (if that is the right term) vs. Type II which is a diet/lifestyle/health issue.

Of course, I'm sure you get inappropriate reactions from people who don't know the difference.

ETA: the article specifically addresses Type II

Not so. I am T1 and the ONLY diabetic in my family on both sides going back a long way. I was diagnosed at the ripe age of 37 with having no previous symptoms even 3 months prior.

As far as sugar consumption leading to diabetes, I believe the jury is still out on that. There are many factors such as injury or non related disease that can lead to a diagnosis of diabetes, especially T2. I CAn say that I was a sugar fiend prior to my diagnosis. I lived on Mt Dew and worked crazy long hours. Perhaps these factors took me down this path but even my endo doc does not believe so.

To all you T1 and T2 BTers: keep up the fight and stay strong. Thank you for your inspiration because you are why I ride!

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