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. 

Senator Mark Rubio Plans To Cut Junk Food And Soda from SNAP

“This subsidization of junk food is fueling American health crises,” Florida Senator Mark Rubio wrote, who plans to introduce legislation that would “explicitly exclude” sugar-sweetened sodas and prepared desserts from Supplemental Nutrition Assistance Program (SNAP) Food and Nutrition Service. He aims to rework the program to push for healthier food options such as milk and pure fruit juice. However, his adversaries argue his intention is strictly to lower government funding. 
 
The Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps) is the nation’s most important anti-hunger program, reaching 38 million people nationwide in 2019 alone. More than 65% of SNAP participants are in families with children.  
 
“More than 40 percent of U.S. adults are obese, and roughly half have diabetes or prediabetes. These diseases can be debilitating. They are also extremely expensive, costing hundreds of billions of dollars in medical costs each year,” Rubio wrote. “That SNAP plays a role in their spread is immoral, irresponsible, and reprehensible.”
 
Approximately 96 million American adults—more than 1 in 3—have prediabetes. Of those with prediabetes, more than 80% don’t know they have it.
How do you feel about your overall health? Are you aware of your risk of prediabetes?

Could You Have Prediabetes?

Take The Prediabetes Rick Test NOW

Prediabetes means you have a higher-than-normal blood sugar level. It’s not high enough to be considered type 2 diabetes yet sufficient to be considered type 2 diabetes yet. But without lifestyle changes, adults and children with prediabetes are at high risk of developing type 2 diabetes. There’s good news, however. Progression from prediabetes to type 2 diabetes isn’t inevitable.

Eating healthy foods, making physical activity part of your daily routine, and staying at a healthy weight can help bring your blood sugar level back to normal. 

“If soft drinks and sweets are no longer SNAP-eligible, corner stores and supermarkets will have more incentive to stock healthier foods.”
 
The US Department of Health reports calories in sugar-sweetened beverages such as soda can contribute to weight gain and lead to other health risks, including obesity, tooth decay, heart disease, and type 2 diabetes.

According to a Harvard Medical study, replacing one daily serving of a sugary drink with a healthier beverage was associated with almost a 20% lower risk of death.
Facing your health risks and issues can be scary and overwhelming but there are
Our friend and colleague, Jill Weisenberger, MS, RDN, CDCES, CHWC, FAND, is an internationally recognized nutrition, diabetes, and prediabetes expert. Let her Prediabetes: A Complete Guide help you “reset,” improve your overall health, and get yourself in better shape.

Prediabetes: A Complete Guide, 2nd edition

Jill Weisenberger also offers courses, Prediabetes Turnaround and Prediabetes Meal Planning, to help you build motivation for healthy habits and prevent type 2 diabetes.  

The USDA report  Mark Rubio cites that 20 cents of every dollar spent under the benefits program go toward “sugar-sweetened beverages, desserts, salty snacks, candy, and sugar.”

 
“There is nothing compassionate or responsible about spending taxpayer dollars on empty calories that contribute to health crises,” Rubio stated.

We’re talking about ‘THE SWEETEST TABOO’ aka ‘SUGAR’ with musical inspiration from Sade.

Sugar is everywhere. But do we understand the impact it has on our diabetes health?

You may think of sweets, chocolate, sodas, table sugar, and perhaps fruit if asked to name sugary foods. But sugar also appears in savory foods such as ready meals, soups, salads, sauces, and ‘healthy’ foods such as breakfast cereals and yogurt. Furthermore, starches such as bread, pasta, rice, and potatoes also convert to sugar in our bloodstream, having the same impact on our bodies. These ‘hidden sugars’ can add a surprising amount to our daily intake.

Guests include Patricia Addie-Gentle RN, CDCES, Tameka Milline, Catherine Schuller, Kathy Dolgin aka ‘High Voltage’, and Stephanie MacKendree. Throughout the podcast, we will feature music from ‘The Essential Sade’ album courtesy of SONY Music.

Lizzo Speaks Our Kind Of Language On Divabetic’s March Podcast with Music From Prince

Have you ever thought about the language we use when talking and writing about overweight and obesity and people living with obesity?

If the rash of criticism directed at superstar Lizzo is any indication, we have a long way to go before society embraces and supports people of different proportions and sizes.

We’re tackling this topic and more on Divabetic’s upcoming podcast scheduled for Tuesday, March 15, 2022, with guests Susan Weiner MS, RDN, CDCES, FADCES, and Poet Lorraine Brooks. We will be featuring music from Prince and the New Power Generation’s Love Symbol album courtesy of SONY Music.  Please join us! 

We love Lizzo‘s attitude about herself and her music. She has no patience for fat-shaming and neither do we! Her body-positive, self-love anthems are part of our workout playlist.

I feel like [being] fat is the worst thing people can say about me at this point,” Lizzo shared on Apple Music’s The Zane Lowe Show. “This is the biggest insecurity. It’s like, ‘How dare a pop star be fat?’ I had to own that.” She added, “I feel like other people who were put on that pedestal, or who become pop stars, probably have other insecurities or have other flaws, but they can hide it behind a veneer of being sexy and being marketable.”

Unfortunately, it’s all too common to see and hear obesity talked about negatively, which risks reinforcing stereotypes, simplifying the causes of obesity, and contributing to weight stigma. Currently, obesity is commonly described in the media and society with negative images of people living with obesity and weight stigmas.

“There’s still so many people who suffer from being marginalized systemically,” she says. “Meanwhile, there’s a plus-size Black girl at the Grammys. But plus-size Black women are still not getting the treatment they deserve in hospitals and from doctors and at work.”

The Truth About Fat

Earlier this week PBS re-aired the documentary, NOVA: The Truth About Fat
that debunks the myths and the general public’s opinion about fat and people who are overweight.
It’s must-see TV for anyone who blames themself and/or their lack of willpower for their body size.
Obesity is not a character flaw; it’s a medical issue. That’s why we need to stop blaming weight gain on willpower.
Learn more about the mysteries of fat and its role in hormone production, hunger, and even pregnancy.
  • Why don’t sumo wrestlers suffer from the health problems that other obese people do?
  • Why has evolution hardwired us to hang onto fat even when it’s unhealthy?
  • And what would happen if you had no fat at all?

Through real-life stories of hunter-gatherers, supermodels, and a BIGGEST LOSER contestant, NOVA explores the complex functions of fat and the role it plays in controlling hunger, hormones, and even reproduction on “The Truth About Fat.”

The Truth About Fat Prologue

Scientists are coming to understand fat as a dynamic organ — one whose size may have more to do with biological processes than personal choices. Explore the mysteries of fat and its role in hormone production, hunger, and even pregnancy.

We’re talking about diabetes wellness with music from Jessye Norman on March’s Divabetic’s Diabetes Late Nite podcast.  Guests include Patricia Addie-Gentle RN, CDE, Mandy Reece PharmD CDCES, BC-ADM, BCACP, FADCES, Maximize Your Metabolism Authors Dr. Noel Maclaren and Sunita Singh Maclaren, and Know Diabetes By Heart Ambassador, Sarah.

Throughout the podcast we will be featuring music from Jessye Norman’s Roots: My Life, My Song (Live at The Philharmonie Berlinalbum courtesy of SONY Music.

In an interview with Anna Deavere Smith for The Aspen Institute, March’s Diva Inspiration, Jessye Noman said, “singing is a very physical responsibility. It requires being as healthy as possible so that we can keep this instrument that we carry around in our throats rather than a nice box that we put away at night so it can do what it needs to do. It’s important to take care of our bodies where our voice lives. During an opera performance one can use as many calories as a marathon runner.”

Do Weight Loss Drugs Really Work?

We’re talking with pharmacist Dr. Sara (Mandy) Reece PHARMD, CDCES, BC-ADM, BCACP, FADCES about the effectiveness of various weight loss drugs marketed for people with type 2 diabetes on March’s Divabetic Diabetes Late Nite podcast with music from Jessye Norman.

For the first time, a drug, semaglutide, made by Novo Nordisk, has been shown so effective against obesity that people may avoid developing obesity health-related consequences reports The New York Times.

Many people with type 2 diabetes are already using semaglutide.

Three quarters (75%) of people who received semaglutide 2.4mg lost more than 10% of their body weight and more than one-third lost more than 20%. No other drug has come close to producing this level of weight loss.

Up until now, the most effective weight loss treatment to help people lose 25 percent to 30 percent of body weight has been bariatric surgery.

READ MORE

Love New Recipes?

Join the happy healthcare host, Mr. Divabetic for this free Virtual Cooking Party with special guest, Registered Dietitian and Certified Diabetes Educator Jill Weisenberger MS, RDN, CDE, CHWC, FAND on Zoom on Tuesday, March 2, 2021, 7-8 PM, EST. Jill shares her favorite quinoa recipes with us!

REGISTER NOW – FREE REGISTRATION 

Luther Vandross’s Vocalists Remake Take You Out with COVID Safety Message

R & B Legend, Luther Vandross and his love songs are synonymous with Valentine’s Day and he had a long tradition of performing at Radio City Music Hall in New York City on that special day. The glamour and glitz of his stage productions was captured in his only live album, Live Radio City Music Hall 2003, recorded on Valentine’s weekend.

Enjoy this cautiously cheek-to-cheek twist on one of Luther’s iconic songs, “Take You Out” with a reminder to take the necessary precautions to stay safe.  we urge you and your loved ones to take the necessary precautions to stay safe. Wear a mask to protect yourself and others and stop the spread of COVID-19. Stay at least 6 feet (about 2 arm lengths) from others who don’t live with you. Avoid crowds. The more people you are in contact with, the more likely you are to be exposed to COVID-19.

Diabetes is known to be a risk factor for severe cases of COVID-19

Early studies have shown that about 25% of people who went to the hospital with severe COVID-19 infections had diabetes. Those with diabetes were more likely to have serious complications and to die from the virus.

Now new evidence suggests some people who’ve recovered from COVID-19 are developing type 1 and type 2 diabetes according to research published November 2020 in Diabetes, Obesity and Metabolism.

More than one in 10 coronavirus patients  (14.4%) were newly diagnosed with diabetes after recovering from the disease caused by the novel coronavirus, according to the analysis of 3,711 patients across eight different studies.

On a personal note, this project is near and dear to my heart because several of my family members contracted COVID over the Christmas holiday. I am so grateful to the care, kindness and treatment that my family members received from the healthcare workers at Prisma Health Baptist Hospital in Columbia, SC. I was thrilled to lend a hand in helping Luther Vandross’s Former Vocalists & Band remake his iconic ‘Take You Out’ song with #COVID safety message.

CREDITS: “Take You Out” written by Warryn Campbell, Harold Lilly, and John Smith Lead Vocals: Keith Anthony Fluitt, Kevin Owens, Clayton Bryant Backing Vocals: Lisa Fischer, Cindy Mizelle, Tawatha Agee, Alfa Anderson. Music: Ivan Hampden, Jr. Vocal Arrangements: Lisa Fischer Mixer: Aaron Whitby Luther Vandross Archival Footage: Fonzi Thornton for Thorn World Hats & Masks Images: Harlem Heaven’s Hat FANDROSS CEO: Seveda Williams Revised Lyrics: Max Szadek, Lisa Fischer Video Production: Max Szadek