{"id":6087,"date":"2019-07-04T16:31:49","date_gmt":"2019-07-04T11:31:49","guid":{"rendered":"https:\/\/drmohans.com\/?p=6087"},"modified":"2024-11-27T14:38:31","modified_gmt":"2024-11-27T14:38:31","slug":"risks-and-dangers-of-sugar-for-diabetic-patients","status":"publish","type":"post","link":"https:\/\/drmohans.com\/backend\/risks-and-dangers-of-sugar-for-diabetic-patients\/","title":{"rendered":"Risks and dangers of sugar for diabetic patients"},"content":{"rendered":"\r\n

Sugar and sweet consumption have been popular and intrinsic to Indian culture, traditions, and religion from ancient times. Indian festivals portray the rich cultural heritage and significance of our country. Food is an integral part in Indian festival. Indian sweets contain high amount of sugar as well high in saturated and trans <\/em>fats (prepared using partially hydrogenated vegetable oils). Decreasing physical activity and increasing trend of per capita sugar consumption assumes significance in view of the high tendency for Indians to develop insulin resistance, abdominal adiposity, and hepatic steatosis, and the increasing \u201cepidemic\u201d of type 2 diabetes (T2DM) and cardiovascular diseases. <\/p>\r\n\r\n\r\n\r\n

SUGAR CONSUMPTION DURING FESTIVE SEASONS IN INDIA<\/strong><\/p>\r\n\r\n\r\n\r\n

The most popular sweetener in the world, sugar, was invented in India. Traditionally, any occasion in India is celebrated with the intake of sweets. Also, it is customary to \u201csweeten the mouth\u201d after every meal, any joyous occasion, religious festival, social gathering, etc<\/em>. It is considered mandatory to offer sweets to the gods on every religious occasion (e.g., it is believed Lord Ganesha, who is worshipped first in all religious occasions, is fond of ladoos. <\/em>Indian religious offerings mostly contain five amrits <\/em>(elixirs) like milk, curd, ghee <\/em>(clarified butter), honey, and sugar; these indicate the importance of sugar not only as a food item but also as intrinsic to the Indian way of life.\u00a0 Nutritionally consumption of sugar provides only \u201cempty\u201d calories (1 g of sugar gives 4 kcal and lacks the natural minerals).<\/p>\r\n\r\n\r\n\r\n

Consumption of Indian sweets\r\nvaries from region to region depending on climate, agriculture, and tradition.\r\nFor example, sweets commonly consumed in north India are different from those\r\nconsumed in south India. Other local practices also increase sugar consumption\r\nin meals, for example in the state of Gujarat (midwest India), there is a\r\npractice of adding sugar to all gravies, breads, curd, aamras <\/em>(mango\r\npulp), etc<\/em>.  <\/p>\r\n\r\n\r\n\r\n

There is a strong relationship\r\nbetween calorie intake and obesity. In India, the prevalence of obesity is\r\nincreasing at a rapid pace due to an increase in energy intake owing to\r\nincreased purchasing power and availability of high fat, energy-dense foods,\r\nalong with reduction in the energy expenditure consequent to urbanization and\r\nmechanization [1, 2].<\/p>\r\n\r\n\r\n\r\n

 <\/strong>COMMON\r\nSWEETS DURING FESTIVE SEASON IN INDIA<\/strong><\/p>\r\n\r\n\r\n\r\n

India\r\nhas wide range of sweets during different festivals. The amount of sugar present in different type of Indian\r\nsweets varies considerable across the nation. For example Gulab jamun (medium\r\nsize) contain 224 calories whereas kajukatri (medium size)   has 101 calories per piece approximately [3]. Similarly\r\njuices are also as bad as sweetened drinks and beverages like Coca cola and\r\nPepsi as they have added sugar.<\/p>\r\n\r\n\r\n\r\n

Common\r\nsweets items with calories value and amount of different ingredients: [3]<\/p>\r\n\r\n\r\n\r\n
\r\n S.no\r\n <\/td>\r\n Sweet(100 g) \r\n <\/td>\r\n Energy (kcal)\r\n <\/td>\r\n Fat (g)\r\n <\/td>\r\n Carbohydrate (g)\r\n <\/td>\r\n Protein (g)\r\n <\/td><\/tr>
\r\n 1\r\n <\/td>\r\n Adhirasam\r\n <\/td>\r\n 498\r\n <\/td>\r\n 15\r\n <\/td>\r\n 86\r\n <\/td>\r\n 4\r\n <\/td><\/tr>
\r\n 2\r\n <\/td>\r\n Badhusha\r\n <\/td>\r\n 436\r\n <\/td>\r\n 25\r\n <\/td>\r\n 50\r\n <\/td>\r\n 4\r\n <\/td><\/tr>
\r\n 3\r\n <\/td>\r\n Burfi\r\n <\/td>\r\n 392\r\n <\/td>\r\n 18\r\n <\/td>\r\n 48\r\n <\/td>\r\n 11\r\n <\/td><\/tr>
\r\n 4\r\n <\/td>\r\n Mysore pak\r\n <\/td>\r\n 505\r\n <\/td>\r\n 32\r\n <\/td>\r\n 52\r\n <\/td>\r\n 2\r\n <\/td><\/tr>
\r\n 5\r\n <\/td>\r\n Jangiri\r\n <\/td>\r\n 426\r\n <\/td>\r\n 23\r\n <\/td>\r\n 51\r\n <\/td>\r\n 5\r\n <\/td><\/tr>
\r\n 6\r\n <\/td>\r\n Gulab Jamun\r\n <\/td>\r\n 448\r\n <\/td>\r\n 20\r\n <\/td>\r\n 56\r\n <\/td>\r\n 13\r\n <\/td><\/tr>
\r\n 7\r\n <\/td>\r\n Kaju katli\r\n <\/td>\r\n 404\r\n <\/td>\r\n 18\r\n <\/td>\r\n 49\r\n <\/td>\r\n 8\r\n <\/td><\/tr>
\r\n 8\r\n <\/td>\r\n Ladoo\r\n <\/td>\r\n 404\r\n <\/td>\r\n 18\r\n <\/td>\r\n 56\r\n <\/td>\r\n 6\r\n <\/td><\/tr>
\r\n 9\r\n <\/td>\r\n Sonpapdi\r\n <\/td>\r\n 445\r\n <\/td>\r\n 23\r\n <\/td>\r\n 50\r\n <\/td>\r\n 9\r\n <\/td><\/tr>
\r\n 10\r\n <\/td>\r\n Rasagulla\r\n <\/td>\r\n 208\r\n <\/td>\r\n 2.5\r\n <\/td>\r\n 11\r\n <\/td>\r\n 11\r\n <\/td><\/tr><\/tbody><\/table>\r\n\r\n\r\n\r\n

Though\r\nfruit juice Contains Vitamins, Minerals and Antioxidants, but it lacks vitamin\r\nC and fiber. It is loaded with sugar but nutritionally poor compared to whole\r\noranges and other plant foods like vegetables. <\/strong><\/p>\r\n\r\n\r\n\r\n

E.g. <\/p>\r\n\r\n\r\n\r\n

<\/p>\r\n\r\n\r\n\r\n

  • Coca Cola<\/strong>:<\/strong> 140 calories and 40 grams\r\nof sugar (10 teaspoons).<\/li>
  • Apple juice:<\/strong> 165 calories and 39 grams of sugar (9.8 teaspoons).<\/li><\/ul>\r\n\r\n\r\n\r\n

    HARMFUL EFFECTS OF SUGAR ON VARIOUS ORGANS SYSTEM <\/strong><\/p>\r\n\r\n\r\n\r\n

    In the cardiovascular system, the dangers of sugar are associated with high triglycerides level, total cholesterol and reduced HDL cholesterols, hence increasing the propensity of cardiovascular disease (MI, Atherosclerosis etc.)<\/p>\r\n\r\n\r\n\r\n

    • Depletes body source of potassium and without adequate phosphorus for transport calcium level decreases to a significant extent causing softening of bone, arthritis and osteoporotic changes. <\/li>
    • Excess eating causes vitamin B deficiency causing nervousness, poor memory, fatigue, anxiety, headache, depression and poor appetite.<\/li>
    • Increased incidence of obesity, hypertension, insulin resistance, metabolic syndrome and diabetes.<\/li>
    • Promote chronic inflammation, disrupts the immune system and predisposes to infections.<\/li>
    • Increased incidence of oral infection and dental caries.<\/li>
    • Affects the neurological balance leading mood disorders, psychosis or violent behaviour.<\/li>
    • Accelerates the allergic inflammations in bronchial airways causing a narrowing and increased mucus production. Thus aggravating bronchial asthma and emphysema. <\/li>
    • Sweetened beverages lead to acid reflux and increased risk of colon cancer. (4)<\/li><\/ul>\r\n\r\n\r\n\r\n

      RELATIONSHIP\r\nBETWEEN SUGAR, OBESITY AND DIABETES<\/strong><\/p>\r\n\r\n\r\n\r\n

      • Consumption of Sugar substitute beverages causes a rapid increase in blood glucose and insulin levels leading high glycemic loads (GL). High GL diets stimulate appetite, induce weight gain and are associated with the development of both glucose intolerance and insulin resistance (5)<\/li><\/ul>\r\n\r\n\r\n\r\n
        • Limiting the intake of  Sugar substitute beverages is a simple change, which if implemented could have a measurable impact on weight control and risk of T2D as well as other metabolic diseases in the general population. (5)<\/li><\/ul>\r\n\r\n\r\n\r\n

          RECOMMENDATIONS\r\nOF AMERICAN HEART ASSOCIATION (AHA)<\/strong> FOR SUGAR INTAKE<\/strong> <\/strong><\/strong><\/p>\r\n\r\n\r\n\r\n

          • Intake of sugar \u2013 about 6 teaspoons or 24\r\ngrams of sugar for females (<100 calories\/day) and about 9 teaspoons or 36\r\ngrams of sugar ( <150 calories \/day)<\/li>
          • Avoid product containing added sugars as\r\nthere is no nutritional benefit from them.<\/li>
          • Soft drinks are a prime source of extra\r\ncalories that can contribute to weight gain and provide no nutritional benefits<\/li>
          • The average can of sugar-sweetened soda or\r\nfruit punch provides about 150 calories. corn This is equivalent to 10\r\nteaspoons of table sugar<\/li>
          • As part of a healthy diet, an adult consuming\r\n2,000 calories daily should aim for not more than 450 calories (1064 ml) a week\r\nfrom sugar-sweetened beverages (6)<\/li><\/ul>\r\n\r\n\r\n\r\n

            STRATEGIES\r\nTO REDUCE EXCESS INTAKE OF SUGAR CONSUMPTIONS<\/strong><\/p>\r\n\r\n\r\n\r\n

            For an optimal and effective reduction in harmful effects of sugar intake, approaches from various sides including Policymakers, government, consumers, food manufacturers, and other agencies involved in food production (food and sugar substitute beverages) are required. <\/p>\r\n\r\n\r\n\r\n

            The most important among these is a\r\nfirm political will that should specifically focus on curbing the rising\r\nprevalence of obesity, T2DM, and cardiovascular diseases in India. <\/p>\r\n\r\n\r\n\r\n

            These proposed strategies will not only help in reducing the dangers of sugar but will also have a meaningful impact on reducing the incidence of obesity and T2DM in India(7). <\/p>\r\n\r\n\r\n\r\n
            \r\n Proposed strategies for control of\r\n excess sugar intake<\/strong>\r\n <\/td><\/tr>
            \r\n Government <\/strong>\r\n <\/td>\r\n Strict\r\n guidelines regarding sugar intake should be formulated. Spread\r\n awareness among consumers and the medical establishment regarding the ill\r\n effects of high sugar intake.Increasing\r\n taxation could be one of the strategies to curb increasing consumption of Sugar\r\n Substitute Beverages (Sugar Substitute Beverages (SSBs).Sale\r\n of Sugar Substitute Beverages (Sugar Substitute Beverages (SSBs) should be\r\n banned in school premises. Healthy alternative drinks should be made\r\n available to children.Warning\r\n labels such as \u201cDrinking beverages with added sugar(s) contributes to\r\n obesity, diabetes, and tooth decay\u201d could be mandatory for Sugar Substitute\r\n Beverages (Sugar Substitute Beverages (SSBs).Increase\r\n access to free, safe drinking water in public places, schools, and offices to\r\n encourage water consumption instead of Sugar Substitute Beverages (Sugar\r\n Substitute Beverages (SSBs).Restriction\r\n of advertisements for commercial foods on television (during prime time and\r\n children\u2019s programs).Decrease\r\n taxes on and prices of fruits, vegetables, nuts, and other healthy foods. \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n  \r\n <\/td><\/tr>
            \r\n Consumers<\/strong>\r\n <\/td>\r\n Inculcate\r\n healthy eating habits in children from early childhood. Instead\r\n of sugar and fat-loaded sweets, opt for fresh fruits for dessert. Raisins and\r\n dates can also be consumed to \u201csweeten the mouth\u201d post meals. Avoid\r\n gifting sweets; instead go for nuts and fresh fruits, etc<\/em>. Cut\r\n down sugar in coffee and tea. Avoid\r\n intake of processed and packaged foods as much as possible. Cut\r\n down on intake of sweetened Sugar Substitute Beverages (Sugar Substitute\r\n Beverages (SSBs). Instead opt for natural drinks \r\n \r\n \r\n \r\n \r\n \r\n <\/td><\/tr>
            \r\n Food industries\/ outlets<\/strong>\r\n <\/td>\r\n Nutritional\r\n labelling should include information on sugars present in the product in\r\n language understood to customers.Nutritional\r\n information of the foods (esp salt, carbohydrate and sugar) served in\r\n restaurants should also be given in the menu card.\r\n \r\n <\/td><\/tr><\/tbody><\/table>\r\n\r\n\r\n\r\n

            REFERENCES <\/strong><\/strong><\/p>\r\n\r\n\r\n\r\n

            1. Misra, A.; Singhal, N.; Sivakumar, B.;\r\nBhagat, N.; Jaiswal, A.; Khurana, L. Nutrition transition in India: Secular\r\ntrends in dietary intake and their relationship to diet related\r\nnon-communicable diseases. J. Diabetes <\/em>2011<\/strong>, 3<\/em>, 278\u2013292.<\/li>
            2. Misra, A.; Shrivastava, U. Obesity and\r\ndyslipidemia in South Asians. Nutrients <\/em>2013<\/strong>, 5<\/em>,\r\n2708\u20132733.<\/li>
            3. Dr.Mohan\u2019s atlas of Indian foods by\r\nDr.V.Mohan, Dr.R.M.Anjana, Dr.Kamala Krishnaswamy & Ms.V.Sudha.First\r\nedition 2013<\/li>
            4. Richard J., mark S., Turi S. Et al.\r\nPotential role of sugar (fructose) in the epidemic of hypertension, obesity and\r\nthe metabolic syndrome, diabetes, kidney disease, and cardiovascular disease.\r\nAm J Clin Nutr 2007;86:899 \u2013906.<\/li>
            5. Malik VS and Hu FB. Sweeteners and\r\nRisk of Obesity and Type 2 Diabetes: The Role of Sugar-Sweetened Beverages.\r\nCurr Diab Rep. 2012; 12:195\u2013203<\/li>
            6. American Diabetes Association. Sugar and Desserts. 2015. Available at-\r\nhttp:\/\/www.diabetes.org\/food-and-fitness\/food\/what-can-i-eat\/understanding-carbohydrates\/sugar-and-desserts.html.\r\nLast accessed 23 September 2015.<\/li>
            7. Gulati S and Misra A. Sugar Intake,Obesity,\r\nand Diabetes in India. Nutrients. 2014; 6, 5955-5974.<\/li><\/ol>\r\n","protected":false},"excerpt":{"rendered":"

              Sugar and sweet consumption have been popular and intrinsic to Indian culture, traditions, and religion from ancient times. 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