Sugar Substitutes, Gut Health and Type 2 Diabetes

The whole conversation around the risks of consuming sugar, added sugars, and artificial sugar substitutes is confusing for anyone, especially those with diabetes.

The health risks associated with consuming too much sugar in your foods and drinks are alarming. But sugar is sneaky. When you think you figured it out, you look closely at nutrition labels, only to discover manufacturers have ways of hiding sugar in foods and drinks marketed as ‘healthy.’  

When you know, a 16 oz bottle of Coke contains almost ten teaspoons of sugar; you think you’re making a better choice by reaching for a Diet Coke or Coke Zero. But recent studies suggest that fake sugars can also have unexpected effects on your gut and metabolic health and even promote food cravings and insulin resistance, leading to Type 2 diabetes. Not to mention, quitting Diet Coke can lead to headaches and withdrawal symptoms. I know because I’ve experienced the vicious cycle of quitting Diet Coke several times without much success. 
And what about these murmurs that diet drinks make you fat? Morning TV shows love to share results from studies that have found using artificial sweeteners and drinking high amounts of diet soda is associated with an increased risk of obesity and metabolic syndrome. One study also reported a link between the high consumption of diet drinks and the increase in belly fat in older adults.
Drinking water is a great alternative. But if you’re like me, you enjoy a carbonated drink from time to time. So what do you do? A glance at the cold drinks shelves at my local bodega reveals a plethora of diet drinks. Every company offering a popular sugar-sweetened beverage now offers a sugar-free alternative. Each contains a list of ingredients a mile long with names only a scientist could understand.   
If you’re wondering why sugar substitutes seem more prevalent in our food and drink choices, one reason could be the Food and Drug Administration’s proposal to stop companies from labeling a food “healthy” unless it adheres to strict new limits on added sugars. Savvy companies can conform to the proposed rules by replacing added sugars in foods with artificial sweeteners.
“When companies reformulate their foods to contain less sugar, it leads them to use more non-nutritive sweeteners,” said Jotham Suez, an assistant professor at the Johns Hopkins Bloomberg School of Public Health, told the Washington Post.
Studies show that when countries such as Chile and Australia instituted similar policies to reduce sugar consumption, there was an increase in artificially sweetened foods and beverages.
“These low-calorie sweeteners are ubiquitous in the food supply, and so people often aren’t even aware that they’re consuming them,” said Allison Sylvetsky, an associate professor in the Department of Exercise and Nutrition Sciences at George Washington University.
Many sugar substitutes are often hundreds of times sweeter than table sugar. Some are synthetic, while others, like stevia and monk fruit extract, are referred to as “natural” because they’re derived from plants.
The confusion surrounding what to do makes me feel like I’m talking from two sides of my mouth. Divabetic has hosted several Sugar-Free Baking Programs on Zoom, and we have shared dozens of Sugar-Free Dessert Recipes. Both of these offerings have proven to be very popular with our community. We’ve even rewarded our followers with free gift baskets of popular artificial sweeteners. But after seeing the new findings, I’m unsure how to proceed.
The World Health Organization cautioned people to limit their intake of sugar substitutes because of their potential for “undesirable” long-term effects, including detrimental effects on gut and metabolic health.
What the heck is Gut Health?
Gut health refers to the health of the entire digestive system — the parts of our body responsible for breaking down our food into individual nutrients we use to run our bodies.

If you suffer from frequent discomfort, gas, bloating, constipation, diarrhea, and heartburn, your gut has difficulty processing food and eliminating waste. People with chronic fatigue may have imbalances in the gut.
Health Studies Seem To Only Make It More Confusing!
According to a Cedars-Sinaistudy, one type of bacteria in the gut may contribute to the development of Type 2 diabetes, while another may protect from the disease. The researchers admitted it is too early to know how people can change their microbiome to reduce their diabetes risk.

In the meantime, experts recommend using artificial sweeteners sparingly because science changing all the time. Many of these old and new sugar substitutes seem destined to spur ongoing concerns and confusion. All we can hope for is to use them in moderation as we strive to live our best diabetes lives. 

Tune In to December’s Diabetes Late Nite podcast featuring Holiday Music from Harry Connick, Jr.

We’re talking about ’Eating Right, Being Bright’ during the holidays with musical inspiration from Harry Connick, Jr. and his 16 piece big band on December’s Diabetes Late Nite podcast scheduled for Tuesday, December 8, 2020, 6 – 7:30 PM, EST.

Harry Connick, Jr. is among today’s most successful and multi-talented artists, who has garnered acclaim in both  music and acting. His won both Grammy and Emmy awards as well as received Tony nominations.

Harry Connick, Jr.’s wife, Jill Connick is a breast cancer survivor.  The couple credit timely screening and early detection for her good health and well-being. Together they have teamed up to encourage people 50 years and older to talk with healthcare providers about colon cancer screening, including the modern, noninvasive options.

Podcast guests include Patricia Addie-Gentle RN, CDE, Lorraine Brooks, Dan Houdeshel, Stacey Harris aka ‘The Diabetic Pastry Chef’ and Pendulum Glucose Control‘s Chief Medical Officer Dr. Orville Kolterman and Diabetes Meal Planning Made Easy Author Hope Warshaw, MMSc, RD, CDE.

Throughout the podcast we will be featuring music from Harry For The Holidays album courtesy of SONY Music. Harry Connick, Jr.’s second Christmas album, Harry for The Holidays is as much a salute to his New Orleans musical roots as it is to the season.

TUNE IN 

Join the happy healthcare host, Mr. Divabetic for this free, fun Virtual Baking Party with special guest, Stacey Harris aka The Diabetic Pastry Chef on Thursday, December 10, 2020, 7 – 8 PM, EST on Zoom.

REGISTER NOW

How Gut Health Affects Mental Health

Have you ever felt “butterflies” in your stomach? This funny silly expression about our stomaches having the ability to feel anxiety is much more factual than you might think.

It’s been proven that our gastrointestinal tract is sensitive to emotion. Anger, anxiety, sadness, elation — all of these feelings can trigger symptoms in the gut.

Additionally, troubled stomaches and intestines send signals to our brains. Researchers say controlling the bacterial population of the gastrointestinal tract may help improve symptoms of mental disorders.

Current thinking in the field of neuropsychology and the study of mental health problems includes strong speculation that bipolar disorder, schizophrenia, and other psychological or neurological problems may also be associated with alternations in the microbiome reports PSYCOM.

READ MORE

Photo by Ehimetalor Akhere Unuabona on Unsplash

 

We’re talking about ‘Diabetes & Mental Health Issues’ on Divabetic’s Diabetes Late Nite podcast with musical inspiration from the iconic Phyllis Hyman.

Phyllis Hyman was a sensational singer-songwriter and actress. Deep-voiced and statuesque, Phyllis Hyman sang with a life-affirming energy and emotional intensity found in few other female vocalists.

Unfortunately Phyllis Hyman committed suicide, leaving a suicide note behind in 1995. Part of the note read “I’m tired. I’m tired. Those of you that I love know who you are. May God bless you.”  It has been reported that she suffered from bi-polar disorder and depression and had a history of substance abuse which involved alcohol and cocaine. Who knows what accomplishments she would have achieved if she had lived longer?

Podcast guests include Alyson Williams, Queen Diva, Patricia Farrell PhD, Kristina Wolfe, ‘Tabouli: The Story of a Heart-Driven Diabetes Alert Dog’ Author Matt Pelicano, Elizabeth Vaughan Gallagher, Stacie Shonkwiler, and the Charlie’s Angels of Outreach with Patricia Addie-Gentle.

Throughout the podcast we will be featuring music from The Essential Phyllis Hyman album courtesy of SONY Music.

Could Your Diet Impact Your Mental Health?

Government figures show more than 16 million American adults report having a major episode of depression in the past year. Women are affected more often than men. A new field of study, nutritional psychiatry, looks at how diet can improve mental health. Its something we don’t often think about but there’s new research how healthy food can boost your mood.

According to experts, a  Mediterranean diet can help.  A Mediterranean diet is traditionally followed in Greece, Crete, southern France, and parts of Italy that emphasizes fruits and vegetables, nuts, grains, olive oil (as opposed to butter) and grilled or steamed chicken and seafood (as opposed to red meat).

Research has shown that the traditional Mediterranean diet reduces the risk of heart disease. The diet has been associated with a lower level of oxidized low-density lipoprotein (LDL) cholesterol — the “bad” cholesterol that’s more likely to build up deposits in your arteries.

Boosting your mood might mean improving your gut bacteria?!!! 

If you doubt the connection between your mood and the critters in your gut, you must read Peter Andrey Smith’s recent piece in the New York Times called Can the Bacteria in Your Gut Explain Your Mood? Not to ruin the suspense, but considering all the optimistic studies Smith includes, the answer is a resounding YES.

Findings from a new study at Oregon State University found that a diet high in sugar caused changes in the gut bacteria of mice, impairing the mice’s ability to adjust to changing situations, called “cognitive flexibility.” The change in gut bacteria also negatively affected the mice’s long-term and short-term memory.

Fermented food is the best kind of probiotic you can feed your gut, because it typically provides a broad combination of bacteria — so chances are greater that you’ll get a useful bacteria. Fermentation is by no means a new health movement. People were fermenting food more than 8,000 years ago. In fact, only recently — since the invention of the refrigerator — have we not placed a priority on consuming fermented foods, which may be part of the reason we have less of a diversity of gut bugs than we used to. One of the easiest, most common fermented products is yogurt (but make sure it is unsweetened). Other examples are kefir, kimchee, sauerkraut, pickles, and kombucha tea. Note: Be careful about alcohol content in some fermented drinks. I didn’t realize that certain kombucha teas and kefir can have a higher alcoholic percentage than beer — a problem for a recovering alcoholic.

LISTEN NOW: Diabetes Late Nite featuring music by Gladys Knight & The Pips. Guests include Stacey Harris aka ‘The Diabetic Pastry Chef’,  Tamara  Sellman from SleepyHead Central,Mary Ann Hodorowicz, RD, LDN, MBA, CDE, CEC,  the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie.