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Know your Artificial Sweetners

What comes to your mind when you talk about artificial sweeteners? Some say it has zero calories, some say it has lesser calories than table sugar. One day one gentleman came to me for his first consultation and while going through his diet recall, I realized he has been surviving on artificial sweeteners for almost 3 years and he had a complaint saying that despite cutting down on sugar, he is not losing weight!

Diabetic people also feel that their blood sugar levels would get under control if they stop eating normal sugar. People have a common misconception that if they stop consuming sugar, they would lose weight. But, as a nutritionist, I can guarantee that this is not possible. An individual’s lifestyle, BMR, daily activity, stress all of these factors contribute to the weight loss process.

If you ask me, I would say that sweeteners are not safe in the long run. Artificial sweetener is a substitute for refined sugar which has very few calories.

‘Food and Drug Administration’ regulations permit any food product that has 5 or fewer calories per serving to be labelled as containing “zero″ calories. Personally, being a nutritionist, I feel that anything which is artificial acts as a foreign substance which can have adverse effects on the body in the long run. In fact, there are many scientific studies which have proven that using sweeteners especially aspartame leads to neurological disorders like Alzheimer, dizziness, depression in the long term which can be fatal.

Sweeteners however should be used in moderation. If consumed on a daily basis it can get addictive. Today artificial sweeteners and other sugar substitutes are found in a variety of food and beverages marketed as “sugar-free” or “diet,” including soft drinks, chewing gum, jellies, baked goods, candy, fruit juice, and ice cream and yogurt misleading the consumers because even though the label on the pack would show zero calories, it would have good amount of carbohydrates and free saturated fats which is not good for the body.

Today, people easily get influenced by these gimmicks without knowing the pros and cons of the product. Just because a well-known celebrity is endorsing the product it does not mean you blindly go for it. It is in no way a ‘wow factor’ nor is it very healthy. There are many leading companies which promote their products as being the healthiest because it has no calories!! There are several types of artificial sweeteners:

  • Acesulfame- K
  • Aspartame
  • Sucralose
  • Saccharin
  • Stevia

 

Acesulfame K: Acesulfame K, also known as acesulfame potassium or ace K, is approximately 200 times sweeter than sugar. It is marketed under the brand name of Sunett, Sweet One, and Sweet & Safe. It is commercially used in hard and soft candies, soft drinks, alcoholic beverages, chewing gums, baked goods.

Aspartame: Aspartame is approximately 200 times sweeter than sugar. Aspartame is marketed under the NutraSweet, Equal and Sugar Twin brands. It is commercially used in baked goods and pre-dessert mixes.

Sucralose: Sucralose is 600 times sweeter than sugar. It is marketed under the brand name of Splenda. It is also used in soft drinks, candies, baked goods, and ice creams

Saccharin: Saccharin is 200-700 times sweeter than sugar. It is marketed under the brand name of sweet n low, nectar sweet, sweet twin.

Stevia: Stevia is a new product gaining importance in today’s world. It is a natural-sourced sweetener. (it originates from Stevia leaves). It is 400 times sweeter than sugar. Stevia can be found in thousands of food and beverage products around the world, including teas, soft drinks, juices, waters, flavoured milk, yoghurts, baked goods, cereals, salad dressings, sauces, confectionaries, and as a tabletop sweetener.

To sum it up, use Artificial Sweeteners in moderation. As it is rightly said, moderation is the key. Rather choose for healthier ones like Honey, Jaggery watching out the portion size for each!!

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Fat or sugars- which is more harmful

fat vs sugar

You may have heard that carbohydrates can lead to weight gain (and this very statement might cause you to think that sugar is worse) but, you probably have also heard that fat can lead to weight gain (and this statement may force you to think fat is worse). With these two different thoughts in your head, you find yourself hopping from a low-fat diet to a low-carb diet and then back to a low-fat diet.

Well, if you are confused as to which one is worse (Fat or Sugar), you are not the only one. This ‘fat v/s. sugar’ debate has been on for a long time and has created lots of dialogues and articles – none of which however come up with a clear picture.

Here is the truth: While there is actually no good sugar that you can include in your everyday diet, fat can be good or bad (depending on the kind you pick).

Excessive Sugar Equals Fat:

Excessive sugar converts to fat in your body; as you eat something sugary or drink a soda, your body does not use all the energy that is produced by sugar. The extra sugar that you consumed, is stored by your body and eventually, is turned into fats. Therefore, an intake of too much sugar has no nutritional value other than it getting stored in the body and converting to fat. Sugar is present in common snacks like biscuits and cakes, cereals, fruits, aerated drinks, smoothies and ready meals. Limiting the sugar intake should be a priority for you to maintain a healthy body. There are many negatives of a high sugar diet.

  • High sugar diets can lead to resistance to insulin resulting in diabetes.
  • The main reason for causing caries in teeth.
  • Sugar-rich diet raises Low Dietary Lipoprotein (LDL) (bad cholesterol), blood glucose and insulin levels. These are all major risk factors for heart disease.
  • Sugar is addictive and causes the release of dopamine in the brain. The pleasure sensation that the brain gets when dopamine levels are elevated creates an addiction.
  • Excess sugar is not used up by the body and is stored as fat for future use. It is a major cause of obesity.
  • However, fruits contain a small amount of fructose. Humans can easily tolerate the small amounts of fructose found in fruit. Reduce the added table sugar in your diet.

Fat Depends – there are good fats and bad fats:

  • Fat is considered deleterious to health and the root cause of high cholesterol. However, there are different kinds of dietary fats
  • Saturated – Animal fats and dairy
  • Monounsaturated – Olive oil, avocado, ground nuts and
  • Polyunsaturated – Omega-3 and Omega-6 fats in fish, walnut and flax seeds.
  • Eating a moderate amount of saturated fats, such those found in butter and meats, coconut oil along with seed oils such as olive and avocado are okay.

Foods with good fats are vital for good health:

  1. Essential for absorption of fat soluble vitamins like Vitamin A (vision), Vitamin D (strong bones), Vitamin K (blood clotting), and Vitamin E (healthy skin). These vitamins are vital for brain health.
  2. Saturated fats found in butter and coconut oil play a role in improving immunity. The saturated fats are present in white blood cells and their loss can reduce the ability of white blood cells (WBC’s) to kill germs.
  3. Less fat in the diet can lead to skin becoming dry and chapped.
  4. Fats provide twice the caloric energy as sugars. A fat rich meal helps to keep the body satisfied. A diet rich in walnuts, salmon, olive oil, and butter aids in weight maintenance.
  5. Omega-3 and Omega-6 fats raise the levels of High-density lipoprotein  (HDL or good cholesterol) in the blood.

In conclusion, I would say both sugar and fat cause equal damage and cause us serious medical problems and especially when bad fats are combined with sugar in a meal. You need to come up with a diet plan that avoids sugar completely and uses only good fats. Also, avoid processed foods and eat whole natural foods along with regular exercise.

 

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Diabetes – (Die-in-bits OR NOT)

So I started writing this blog almost a year back and could not complete it in this one year because I felt everybody knows everything about diabetes and what was the point of repeating the same things over and over again. Then, I realized, that this World Diabetes Day instead of the same diabetes facts, what we really need is a real patient case and scenarios to make everybody understand how intense and life-threatening, diabetes as a disease can be.

I remember long back we had a worried parent of a 6year old come into our clinic saying that his son’s urine had ants in it. After taking a proper history we realized that it was not ants in his urine but sugar in the kid’s urine left on the commode which was attracting the ants. Few blood tests later the child was diagnosed with Juvenile Diabetes. That’s Type 1 diabetes, the type which is most commonly seen in the younger kids. Basically, the pancreas barely produces any insulin in these kids which leads to sugar flowing through the blood and causing diabetes.

Diabetes is a group of metabolic disorders in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin or both.

Causes can range from autoimmune destruction, heredity or positive family history, insulin resistance to various infections like pancreatitis. But, the main cause or the root cause of Diabetes especially type 2 which affects mostly the adult population has to be a poor lifestyle.

Diabetes-like we all know can easily go unnoticed, even when a patient has already been diagnosed. Because of this, unfortunately, many don’t pay attention to the possible terrible problems that can happen if your diabetes is not under control.

I remember a case at the beginning of my career, a 40year old man having diabetes for more than 10 years came to our clinic with a complain that he had wound on his foot which was not healing. He knew his sugars were high but still wasn’t taking care. We started him off on the required medicines and within 10 days of better sugars, the wound had healed. He had no memory of how he had hurt himself. After 4months the same patient came back with an even bigger wound but unfortunately this time it had spread so much that his foot could not be saved and had to be amputated.

Does it make sense being so careless with your health and losing your foot just because your sugars are not controlled?

diabetes 1

Let’s discuss the complications of uncontrolled diabetes which can affect almost every organ of your body. Most commonly Diabetes affects your heart, kidneys, eyes, feet and your nerves (neuropathy) at varying degrees. Apart from these, diabetics have a higher risk of infections and dental problems. It is difficult to say what gets affected first but easier to remember that if your blood sugars are not under control, you have set yourself on the path to trouble.

diabetes image 3

During my internship, I got a call from a friend that his dad had a heart attack and they were shifting him to the same hospital where I was working. Fortunately, that month I was posted in the ICU itself so I was happy that I was going to be able to monitor his dad. Just on the opposite bed, there was another man of the same age who had suffered a heart attack the morning before. Almost two weeks later, my friend’s dad was still in the ICU whereas the other man was on his way to get discharged. Another 2 weeks went by but unfortunately, we didn’t see much signs of improvement and eventually we lost him in the next few days. The only big difference between the two patients was that my friend’s dad had uncontrolled diabetes!!

Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.

Your body and your health need a lot of care, attention and need to be your first priority not only at the time when you are sick but more when you are well. The point of this blog is not to scare you but to make you aware, and part of that awareness is knowing how to be able to help yourself. Follow the below tips and start your healthy journey today!

diabetes image 4

Tips to prevent or live well with diabetes

  • Maintain a healthy weight and look out for belly fat
  • Make healthy food choices
  • Be physically active (gradually increase everyday steps and try and reach the 10,000 target)
  • Monitor your sugar levels regularly and keep a check on your blood pressure
  • Get your full body tests done once a year
  • Sleep well and work to manage daily stress
  • Quit smoking
  • If on medications, make sure you take them regularly

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STEVIA (A 0 calorie, 0 carbs, 0 protein and 0 fats natural sweetener)

stevia

Yes, you have read right! A null nutritional value sweetener which is sweeter than sugar. Stevia has 0 kcal energy, 0gms of carbohydrates, 0gms of proteins, 0gms of fats yet a very sweet product and gained popularity in foreign countries. Let’s find out more about Stevia.

What is stevia?

Stevia is a sweetener and sugar substitute extracted from the leaves of the plant species Stevia Rebaudiana.

The active compounds of stevia are steviol glycosides (mainly stevioside and rebaudioside), which have up to 150 times the sweetness of sugar, are heat-stable, pH-stable, and not fermentable. Stevia’s taste has a slower onset and longer duration than that of sugar, and some of its extracts may have a bitter or liquorice-like aftertaste at high concentrations.

Benefits of Stevia

Apart from using it as a replacement for Sugar it has additional benefits like

  • IN DIABETES: Research has shown that stevia sweeteners do not contribute calories or carbohydrates to the diet and do not affect blood glucose or insulin response, which allows people with diabetes to consume a wider variety of foods and comply with a healthful meal plan.
  • IN WEIGHT MANAGEMENT: The intake of added sugars has been shown to contribute an average of 16 percent of the total calories in the American diet and has been linked to weight gain and adverse effects on glycemic control. Plant-based, zero calorie stevia can be part of a well-balanced diet to help reduce energy intake without sacrificing taste.
  • IN BLOOD PRESSURE: Certain glycosides in stevia extract have been found to dilate blood vessels, increase sodium excretion, and urine output. In higher doses, stevia could potentially help lower blood pressure. The plant may have cardiotonic actions, which normalize blood pressure and regulate heartbeat.

Good and bad Stevia

Stevia’s green leaves are naturally sweet. However, those white powder and clear drops we find in groceries have very little to do with stevia leaves. They aren’t really stevia at all. They’re an extract that’s been super-refined using toxic chemicals, bleach, and marketed as “healthy”. When you look at the chemical refinement process, stevia is no more natural than Aspartame, Splenda, NutraSweet, Equal, Sweet N Low, etc. Everybody is looking for a non-addictive, healthy sweetener. But, beware of any sugar-free sweetener that gives you the illusion of a “free ride”, because you may just be deepening your addiction.

Green leaf stevia is the least processed of the stevia types. The leaves are basically just dried and ground into powder form. This is the type of stevia that’s been used in South America and Japan for centuries as a natural sweetener and health remedy. This type of stevia is about 30–40 times sweeter than sugar.

The best stevia is the kind you can grow yourself. When it’s alive you know it’s REAL! Stevia plants grow beautifully in a pot, a garden, a window box, or on your kitchen window sill.  Just pull off a leaf when you need to sweeten something. This way you can be sure it’s organic, and the soil is healthy.

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