If you have diabetes, you have way too much sugar in your bloodstream. So does eating a lot of sugar cause it?

#diabetes #bloodsugar #insulin

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George Zaidan
Hilary Hudson

Producers:
Andrew Sobey
Elaine Seward

Writer/Host:
Sam Jones, PhD

Scientific consultants:
Thomas Delong, PhD
Leila Duman, PhD
Peter Havel, DVM, PhD
Katie Page, MD
Brianne Raccor, PhD
Kimber Stanhope, PhD

Sources:
Consumption of sugar-sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction
https://www.bmj.com/content/351/bmj.h3576

Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes
https://care.diabetesjournals.org/content/33/11/2477

A Prospective Study of Sugar Intake and Risk of Type 2 Diabetes in Women
https://care.diabetesjournals.org/content/diacare/26/4/1008.full.pdf

Gestational diabetes
https://www.diabetes.org/diabetes/gestational-diabetes/how-will-this-impact-my-baby

Type 2 diabetes
https://www.cdc.gov/diabetes/basics/type2.html

Diabetes
https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444

Visceral fat and diabetes

Visceral Fat (Active Fat)

Gestational diabetes
https://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/syc-20355339

Symptoms & Causes of Diabetes
https://www.niddk.nih.gov/health-information/diabetes/overview/symptoms-causes

Sugar and diabetes
https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/food-groups/sugar-and-diabetes

Does eating too much sugar cause diabetes?
https://chicagocaresdpp.org/does-eating-too-much-sugar-cause-diabetes/

Why too much sugar is bad for you
https://www.healthline.com/nutrition/too-much-sugar

Does sugar cause diabetes?

Does Sugar Cause Diabetes?

Belly fat promotes diabetes
https://www.cuimc.columbia.edu/news/belly-fat-promotes-diabetes-under-orders-liver#:~:text=The%20fat%20that%20builds%20up,determining%20what%20causes%20the%20inflammation.

Sugar and diabetes

Does Sugar Cause Diabetes?

Reiser, S., et al., Isocaloric exchange of dietary starch and sucrose in humans. II. Effect on fasting blood insulin, glucose, and glucagon and on insulin and glucose response to a sucrose load. Am J Clin Nutr, 1979. 32(11): p. 2206-16.

Hallfrisch, J., et al., Effects of dietary fructose on plasma glucose and hormone responses in normal and hyperinsulinemic men. J Nutr, 1983. 113(9): p. 1819-26.

Reiser, S., et al., Serum insulin and glucose in hyperinsulinemic subjects fed three different levels of sucrose. Am J Clin Nutr, 1981. 34(11): p. 2348-58.

Schwarz, J.M., et al., Effect of a High-Fructose Weight-Maintaining Diet on Lipogenesis and Liver Fat. J Clin Endocrinol Metab, 2015. 100(6): p. 2434-42.

Aeberli I, Hochuli M, Gerber PA, Sze L, Murer SB, Tappy L, Spinas GA, Berneis K. Moderate amounts of fructose consumption impair insulin sensitivity in healthy young men: a randomized controlled trial. Diabetes Care. 2013 Jan;36(1):150-6.

Stanhope KL, Schwarz JM, Keim NL, Griffen SC, Bremer AA, Graham JL, Hatcher B, Cox CL, Dyachenko A, Zhang W, McGahan JP, Seibert A, Krauss RM, Chiu S, Schaefer EJ, Ai M, Otokozawa S, Nakajima K, Nakano T, Beysen C, Hellerstein MK, Berglund L, Havel PJ. Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest. 2009 May;119(5):1322-34.

Does sugar cause diabetes? To avoid high blood sugar it’s common among people with diabetes to fret about sugary foods and fruits altogether. The sugar situation is understandably confusing to people because “sugar” is used as a blanket term. But it’s time to refresh the mind with some previous knowledge. There are different types of sugar with different biological effects in the body.

So the correct questions to ask are: What type of sugar causes diabetes? And which sugars reverse insulin resistance? Because in the world of diabetes, sugar type matters more than the amount.

Here’s what Dr. Michelle McMacken talks about to help clear the confusion:

– The sugar in your blood and the sugar in your food
– The sugar that increases the risk of developing type 2 diabetes
– Added sugars vs natural sugars
– Is fructose bad for you? What happens when you take in pure fructose?

Dr. Michelle McMacken is a board-certified internal medicine physician and an assistant professor of medicine at the NYU School of Medicine. She’s an honors graduate of Yale University and Columbia University College of Physicians and Surgeons. She has more than 10 years of experience practicing primary care, directing a medical weight loss program, and teaching doctors in training at Bellevue Hospital Center in New York City. Dr. McMacken has written articles for Forks Over Knives, including one called Seven Things that Happen to You When You Stop Eating Meat that has been shared more than 250,000 times.

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