DIABETES AND SUGARS AND SWEETENERS

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Introduction
Sugars
Function in Foods
Sugar Properties
Diabetic Use

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INTRODUCTION to Top

Carbohydrates are simply chains of single sugars hooked together. Sucrose (white table sugar) is a chain of glucose and fructose molecules. Several studies have shown that sucrose when fed as part of a meal does not cause increases in blood glucose levels any more than do most starches (complex carbohydrate). However, studies have linked sugar (concentrated sweets) consumption by diabetics with an increase in blood triglycerides, a type of fat in the blood that increases risk for heart disease. The OTHER CARBOHYDRATE list in the ADA Exchange Lists for Meal Planning states these foods can be substituted in the meal plan even though they do contain sugar. However, they do not contain many important vitamins and minerals like the starch, fruit and milk foods they may replace. Because of the concentrated source of carbohydrates and/or fat the portion sizes are very small.

The National Institutes of Health Consensus Development Conference on Diet and Exercise in type 2 Diabetes states that it is acceptable for up to 5%+- of total calories to come from sugar. For 1500 calories, of the 60%+- from carbohydrate, about 2 and 1/2 teaspoons (12 grams) of sugar is allowed.

While this is a fairly small amount the allowance for some desserts is a welcome and realistic one for our clients with diabetes. A 15 gram serving of these -other - choices include:

- 1 TBS sugar, jam, or syrup
- 1 1/2 Fig Newton
- 3/4 oz Licorice
- 1 1/2 TBS Candy Corn
- .8 oz M +ACY- Ms
- 1/14 Sara Lee Cheese Cake
- 1/2 Nutri-grain bar
- 1 oz Peanut Butter Cup

Food Label Nutrition claims about sugar are regulated with strict guidelines for manufacturers.


- sugar-free: less than 0.5 gram/serving
- no added sugar, with out added sugar, or no sugar added: No sugar or ingredients that functionally substitute for sugar like juice is added during processing or packing
- reduced sugar: at least 25 percent less sugar than the reference (original) food

For people with diabetes, all foods with sugars or sugar-substitutes can be nincluded (safe) provided the carbohydrate content of the product is known. The advantage of the food with an alternative sweetener is that the serving size may be larger. So the focus of blood sugar management in diabetes is on the total carbohydrate.

  • - low calorie sweeteners (LCS) provide persons with diabetes an expanded set of food choices.
  • -60 grams/day of fructose or sucrose will not effect glycemic response
  • -LCS are safe for Diabetics
  • Helpful for managing total calories

    SELECTED LINKS to Top

    http://www.joslindiabetescenter.org
    Best resource for Type 1 diabetes and information for me as I am involved in camps for kids. Experts in managing diabetes with professional education and research information.

    http://www.caloriecontrol.org

    Calorie Control Has information on cutting calories, weight management and low calorie, reduced- fat foods and beverage ingredients.

    http://www.diabetes.org/DiabetesForecast/

    Diabetes Forecast is Americas leading magazine for over 50 years supporting the Diabetic community. Diabetes Educators, at the finish of a group class encourages patients to subscribe for the latest research plus practical tips and recipes for the day-to-day management of blood sugar.

    http://www.diabetic.com

    diabetic.com Dedicated to the special needs of individuals with diabetes. Highlights sugar free products and recipes with an online store.

    http://www.DiabeticCooking.com

    Diabetic Cooking Provides hundreds of recipes specially selected for people with diabetes. Describes how the nutritional information is calculated. Reliable as I tested a couple recipes that were great.

    http://www.helioshealth.com/diabetes/index.html

    HeliosHeath.com covers diabetic concerns.

    http://www.ificinfohealth.org

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    http://www.nutritionresource.com/index.cfm

    International Food Information Council. Commuicates science-based information on food safety and nutrition issues to health professionals, media, educators and government officials. Funded by food, beverage and agricultural industries. Offers help in finding weight management programs.
    NutritionResource.com A credicle link to dietetic professionals and products. Features Hot Topics and Food pictures (can be e-mailed to a friend) and a discussion forum.

    This site was developed by Connie McLellan, RD. LD.
    Oregon State University, Graduate Student
    Dietetic Management Distance Program
    to Top

    Updated: Sunday, March 30, 2008.

    Oregon State University.
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