Double Trouble: Diabetes And Cardiovascular Diseaseyour Browser Indicates If You’ve Visited This Link
Because, if left unchecked, having uncontrolled blood sugar or diabetes could be a major health risk. In a webinar titled “Heart of the Matter: Minimizing Disease Risk to Optimize Diabetes Care,” conducted recently by Zuellig Pharma Corporation through its commercialization arm ZP Therapeutics,
You Dont Need To Cut Out Sugar From Your Diet If You Have Diabetes And While We Dont Know Exactly What Causes Type 1 Diabetes But It Isnt Linked To Lifestyle And So Sugar Doesnt Directly Cause The Condition
The question of whether sugar directly causes type 2 diabetes is a bit complicated.
Because diabetes is a condition where blood sugar levels are too high, its all too easy to think eating too much sugar is the cause. But whats the truth about sugar and how does it affect diabetes?
In this article well explain whether sugar causes diabetes, how to cut down on sugar and how to read food labels to make informed decisions about your diet.
How Is Type 2 Diabetes Diagnosed
The following blood tests help your healthcare provider diagnose diabetes:
- Fasting plasma glucose test: checks your blood glucose level. This test is best done in the office in the morning after an eight hour fast .
- Random plasma glucose test: This lab test can be done any time without the need to fast.
- Glycolated hemoglobin testing measures your average blood sugar levels over three months.
- Oral glucose tolerance testing checks your blood sugar levels before and after you drink a sugary beverage. The test evaluates how your body handles glucose.
|Type of test|
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Why Is Blood Sugar Checked At Home
Home blood sugar testing is an important part of controlling blood sugar. One important goal of diabetes treatment is to keep the blood glucose levels near the normal range of 70 to 120 mg/dl before meals and under 140 mg/dl at two hours after eating. Blood glucose levels are usually tested before and after meals, and at bedtime. The blood sugar level is typically determined by pricking a fingertip with a lancing device and applying the blood to a glucose meter, which reads the value. There are many meters on the market, for example, Accu-Check Advantage, One Touch Ultra, Sure Step and Freestyle. Each meter has its own advantages and disadvantages . The test results are then used to help patients make adjustments in medications, diets, and physical activities.
While there are no guidelines to use A1c as a screening tool, it gives a physician a good idea that someone is diabetic if the value is elevated. Right now, it is used as a standard tool to determine blood sugar control in patients known to have diabetes.
The American Diabetes Association currently recommends an A1c goal of less than 7.0% with A1C goal for selected individuals of as close to normal as possible without significant hypoglycemia. Other Groups such as the American Association of Clinical Endocrinologists feel that an A1c of < 6.5% should be the goal.
Fat Is The Cause Of Type 2 Diabetes
Written By Michael Greger M.D. FACLM on November 17, 2016
Studies dating back nearly a century noted a striking finding: If you take young, healthy people and split them up into two groupshalf on a fat-rich diet and half on a carbohydrate-rich dietwe find that within just two days, glucose intolerance skyrockets in the fat group. The group that had been shoveling fat in ended up with twice the blood sugar. As the amount of fat in the diet goes up, so does ones blood sugar. Why would eating fat lead to higher blood sugar levels? It would take scientists nearly seven decades to unravel this mystery, but it would end up holding the key to our current understanding of the cause of type 2 diabetes.
The reason athletes carb-load before a race is to build up the fuel supply within their muscles. We break down the starch into glucose in our digestive tract it circulates as blood glucose and is taken up by our muscles to be stored and burnt for energy.
Blood sugar, though, is like a vampire. It needs an invitation to come into our cells. That invitation is insulin. Insulin is the key that unlocks the door that lets glucose in the blood enter muscle cells. When insulin attaches to the insulin receptor on the cell, it activates an enzyme, which activates another enzyme, which activates two more enzymes, which finally activates glucose transport .
The most concerning downside of low-carb diets, though, is heart health: Low Carb Diets and Coronary Blood Flow
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Why Is Consumption Of Sugars Important To Diabetes Canada
This position statement is based on a review of the evidence published between 1995-2015 about the role of free sugars in the diet of people living with diabetes and those at risk for type 2 diabetes. Recommendations for intake of sugars by adults and children are provided. This statement can inform policy-makers and program managers in their assessment of consumption of free sugars within their jurisdictions and influence a reduction of consumption, as necessary, through a range of public health and public policy interventions.
Diabetes Canada developed the present evidence-informed recommendations using a systematic and deliberative approach. The steps in this process included:
- Identification of priority questions and outcomes
- Retrieval of the evidence
- Review and input from experts
- Planning for communication, dissemination, implementation, evaluation and updating of the recommendations
Sugars In The Food Supply
The packaged foods available today are sweeter than before. According to Basu et al., sugar supply has risen across the globe from an average of 218 kilocalories per person per day in 1960 to over 280 kilocalories per person per day by 2013. Assuming a food wastage rate of 30%, these consumed calories exceed the recommended daily upper limit of 150 kilocalories per man and 100 kilocalories per woman by the American Heart Association. Much of this is in the form of high fructose corn syrup within SSBs however, added sugar is found throughout the food supply .
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How Much Is Too Much
The American Heart Association recommends no more than 6 teaspoons of added sugar a day for women and 9 teaspoons for men. But the average American gets way more: 22 teaspoons a day . Itâs easy to overdo. Just one 12-ounce can of regular soda has 10 teaspoons of sugar — and no nutritional benefit.
What Are The Acute Complications Of Diabetes
Acute complications of type 2 diabetes
In patients with type 2 diabetes, stress, infection, and medications can also lead to severely elevated blood sugar levels. Accompanied by dehydration, severe blood sugar elevation in patients with type 2 diabetes can lead to an increase in blood osmolality . This condition can worsen and lead to coma . A hyperosmolar coma usually occurs in elderly patients with type 2 diabetes. Like diabetic ketoacidosis, a hyperosmolar coma is a medical emergency. Immediate treatment with intravenous fluid and insulin is important in reversing the hyperosmolar state. Unlike patients with type 1 diabetes, patients with type 2 diabetes do not generally develop ketoacidosis solely on the basis of their diabetes. Since in general, type 2 diabetes occurs in an older population, concomitant medical conditions are more likely to be present, and these patients may actually be sicker overall. The complication and death rates from hyperosmolar coma is thus higher than in diabetic ketoacidosis.
Blood glucose is essential for the proper functioning of brain cells. Therefore, low blood sugar can lead to central nervous system symptoms such as:
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The Initial Causes How To Tell If You Have Type 2 Diabetes
Type 2 diabetes is a common condition in many people. This type is caused by a lack of insulin and is a result of an unhealthy lifestyle. The bodys inability to process glucose from the blood can damage many parts of the body, including the eyes, kidneys, and nerves. Fortunately, there are some things you can do to avoid diabetes. Here are five tips to help you lower your risk: Eat more vegetables and fruits, get regular exercise, and avoid smoking.
High levels of triglycerides in the blood are another factor that can cause diabetes. These triglycerides are caused by a buildup of cholesterol in the blood. A high triglyceride level causes the body to misrepresent insulin as a molecule, which causes glucose to build up in the blood. A simple blood glucose test can confirm your diagnosis of type 2 diabetes. By following these tips, you can begin living a healthy life and avoid the complications of diabetes.
A person with type 2 diabetes must consume less sugar. Glucose causes thirst and dehydration because the body releases energy stores into the bloodstream instead of using insulin. If untreated, diabetes can lead to weight loss and diabetic ketoacidosis, a dangerous condition whereby the cells are deprived of energy. To prevent the condition, you must make sure that your diet is low in glycemic load and that you exercise regularly.
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Diabetes can be managed through oral medications. In addition to insulin, metformin, which is a sugar-reducing agent, is also a common treatment for diabetes. It is considered a first-line therapy for diabetes treatment and is often added to insulin. It is important to know the risks of taking diabetes medications. Some drugs can be addictive, so you must consult your doctor before taking any medication. Your physician can prescribe you an appropriate treatment plan based on your medical history.
Your doctor will prescribe medication and check your blood glucose levels on a regular basis. Your A1c level will be checked every six months and your cholesterol levels will be tested regularly. Your doctor will also look for any signs of retinopathy, which is damage to the nerves in the eye caused by diabetes. You will also be examined for any foot problems. It is important to see a foot specialist regularly. Your feet should be thoroughly inspected for damage to the nerves.
While the first two types of insulin are the most common treatments, diabetes can be treated in a variety of ways. Your doctor may prescribe medications to control high blood pressure, which can protect the kidneys. Other types of medication include aspirin and other types of anti-platelet drugs. If your doctor is concerned about your blood sugar level, you may need to try a different medication. Some medications can cause side effects. Your treatment will depend on what type of insulin you need.
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General Conclusions For Public Health And Dietary Recommendations
The sugar controversy as presented to the general public, by Nicky Campbell
|On Sunday, 24 January 2016, ignoring half a century of careful scientific analysis, the BBC television presenter Nicky Campbell opened his TV debate programme The Big Questions with two statements to the world: We all know that eating too much sugar can make you fat and Doctors now agree that too much sugar will increase your risk of diabetes, cancers and heart disease.|
|The actual agreement of a specialist committee of doctors, published in the 2014 SACN report on dietary Carbohydrates and Health was that the totality of the global evidence, and specifically meta-analysis, does not support a role for sugar in causing diabetes, cancers, or heart disease.|
|Why is there such a gulf between scientific understanding and the beliefs of otherwise intelligent people?|
*The Big Question. BBC 1, Sunday 24 January 2016, 10.30h .
A high consumption of extra calories as sugar can obviously contribute to weight gain and T2DM development, and the cynical incorporation of caffeine whose addictive property increases sales, is playing a part. But there are many other factors. People who develop T2DM are likely to consume excess calories from fat as well as sugar , and commonly under-report consumption of both. They are also more likely to smoke and to be more inactive, both contributing to T2DM risk.
When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isn’t enough insulin or the insulin doesn’t work properly. Without the effect of insulin, the organs can’t make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
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How Many Carbs Should I Eat
Theres no one size fits all answereveryone is different because everyones body is different. The amount you can eat and stay in your target blood sugar range depends on your age, weight, activity level, and other factors.
On average, people with diabetes should aim to get about half of their calories from carbs. That means if you normally eat about 1,800 calories a day to maintain a healthy weight, about 800 to 900 calories can come from carbs. At 4 calories per gram, thats 200225 carb grams a day. Try to eat about the same amount of carbs at each meal to keep your blood sugar levels steady throughout the day .
This sample menu has about 1,800 calories and 200 grams of carbs:
½ cup rolled oats 1 cup low-fat milk 2/3 medium banana ¼ cup chopped walnuts Total carbs: 65 grams
2 slices whole wheat bread 4 oz. low-sodium turkey meat 1 slice low-fat Swiss cheese ½ large tomato 1 TBS yellow mustard ¼ cup shredded lettuce 8 baby carrots 6 oz. plain fat-free Greek yogurt ¾ cup blueberries
What Are Normal Blood Sugar Levels
They’re less than 100 mg/dL after not eating for at least 8 hours. And they’re less than 140 mg/dL 2 hours after eating.
During the day, levels tend to be at their lowest just before meals. For most people without diabetes, blood sugar levels before meals hover around 70 to 80 mg/dL. For some people, 60 is normal for others, 90.
What’s a low sugar level? It varies widely, too. Many people’s glucose won’t ever fall below 60, even with prolonged fasting. When you diet or fast, the liver keeps your levels normal by turning fat and muscle into sugar. A few people’s levels may fall somewhat lower.
Reducing Sugar In Drinks
- Instead of sugary fizzy drinks or sugary squash, go for water, lower-fat milk, or sugar-free, diet or no-added-sugar drinks. While the amount of sugar in whole and lower-fat milk is the same, choosing lower-fat milk reduces your saturated fat intake.
- Even unsweetened fruit juices and smoothies are sugary, so limit the amount you have to no more than 150ml a day.
- If you prefer fizzy drinks, try diluting no-added-sugar squash with sparkling water.
- If you take sugar in hot drinks or add sugar to your breakfast cereal, gradually reduce the amount until you can cut it out altogether. Alternatively, switch to a sweetener.
The NHS Change4Life website has more tips to help you cut back on sugary drinks.
Portion Size Is Important
Ripeness isnt the only factor when it comes to the amount of sugar in your banana size also matters. The bigger the banana, the more carbs you will be getting.
This means a larger banana will have a greater effect on your blood sugar level. This portion-size effect is called the glycemic load.
Glycemic load is calculated by multiplying the GI of a food by the number of carbs in a serving and then dividing that number by 100.
A score of less than 10 is considered low, 1119 is medium, and 20 or more is high.
Bananas vary in size, from about 18.535 grams.
If a banana is fully ripe , then its glycemic load could range from 11 for a very small banana to 22 for a very large banana.
To ensure that your blood sugar doesnt rise too much, its important to be aware of the size of the banana youre eating.
The size of the banana you eat determines its effect on your blood sugar level. The larger the banana, the more carbs youll consume and the greater the rise in your blood sugar will be.
Unlike refined sugar products such as candy and cake, the carbs in fruits like bananas come with fiber, antioxidants, vitamins, and minerals.
More specifically, bananas provide fiber, potassium, vitamin B6, and vitamin C. They also contain some antioxidants and beneficial plant compounds .
For most people with diabetes, fruits including bananas are a healthy choice.
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