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Sugar or Sweetener? Your Body Knows What's Right

Posted: 07/14/10 08:30 AM ET

Have you ever been sitting in a restaurant and watched someone add multiple pink, blue or yellow packets to their food or drink? Whenever I see one of these "packet aficionados," I just want to lean over and ask, "What's wrong with good old-fashioned sugar?"

Some days I feel like I am "sweet talking" all day long. Many clients I see in my practice have come to believe that artificial sweeteners are a healthier way to satisfy their cravings for sweet. Unfortunately, they're not.

As a culture, how did we get so sweet obsessed, anyway? Like MTV, The Simpsons and Cyndi Lauper, they came to fame in the 1980s.

How Sweet is Sweet Enough?

In the 80's, the fat-free revolution hit the shelves. We were told fat was the villain -- as long as you avoided fat, all would be well. But, what happens when you take away fat (and its resulting flavor)? Manufacturers were left with a handful of options to flavor their products -- namely sugar or non-nutritive artificial sweeteners, thereby creating a generation who preferred sweet and sweeter.

This conditioning has led us to where we are today -- wanting to satisfy our sweet tooth without ramifications. The result? More and more new sweeteners are born each decade.

Non-nutritive sweeteners range from half as sweet as sugar to many times sweeter than sugar, with the average being 200-300 times sweeter than sugar. Which leads me to ponder: just how sweet does sweet need to be?

Fuel, Don't Fool Your Body

Today, many well-known diet programs and health care professionals advocate the use of sweeteners to decrease the amount of sugar and calories a person takes in. What's interesting, however, is that the longer these sweeteners have been on the market, the more obese our nation has become.

When you are consuming alternative sweeteners, you are trying to fool your body. And guess what? It doesn't work. Your body knows what you are giving it is fake, so instead of being satisfied, it continues to send the signal that it wants to consume something sweet.

Sharon Fowler, MPH, and her colleagues at the University of Texas Health Science Center, San Antonio, collected data for eight years that was reported at the American Diabetes Association's annual meeting in San Diego in 2005. What they discovered was that people who drank diet soda did not lose weight, but rather gained weight.

"What didn't surprise us was that total soft drink use was linked to overweight and obesity," Fowler said. "What was surprising was that when we looked at people only drinking diet soft drinks, their risk of obesity was even higher. There was a 41 percent increase in risk of being overweight for every can or bottle of diet soft drink a person consumes each day." These products create the illusion that you can eat or drink more of them and not gain weight.

HFCS & Agave - Inexpensive and Trendy Substitutes

What about caloric substitutes for sweetness? High fructose corn syrup (HFCS) was developed in the '70's from cornstarch made from genetically modified corn. This process results in a less expensive product than sugar and is now used by major food companies to sweeten anything from sodas to jam, ketchup, juice, yogurt, and processed foods.

In the 30 years since HFCS was injected into our food supply, rates of obesity and diabetes have reached phenomenal levels. Whereas regular sugar has a breakdown of 50 percent fructose and 50 percent glucose, HFCS has higher levels of fructose (55-60 percent) and lower levels of glucose (40-45 percent).

When fructose is attached to whole fruit, it is safe. However, if it is extracted out of the fruit or vegetable, such as corn for HFCS, it gets metabolized by the body differently. Instead of being used by all the cells of the body for energy, which is the case with glucose, fructose goes directly to the liver. This results in higher triglyceride levels, fatty liver, insulin resistance, increased hunger levels and a plethora of other health issues you'd rather avoid. High levels of fructose make your brain deaf to leptin, the hormone responsible for making you feel full.

With Agave syrup, the percentages are altered more significantly, with the breakdown being 85-90 percent fructose and 10-15 percent glucose. The processing of the Agave plant concentrates it into a syrup for the desired sweetness. Rather than being natural, it is actually a processed food with few quality controls.

Solving for Sweet

So, how do you satisfy those sweet cravings? How can you truly taste and enjoy the real flavor of foods? Here are some tips to keep your sweet cravings in check:

Increase Your Protein
1 of 7
Eating protein at meals and snacks lowers cravings. Choose from lean grass-fed meats, poultry, fish, legumes/beans, nuts/seeds, nut butters, organic cheese, plain yogurt, etc. Not eating protein will leave you hungry and craving more sweet.
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Have you ever been sitting in a restaurant and watched someone add multiple pink, blue or yellow packets to their food or drink? Whenever I see one of these "packet aficionados," I just want to lean ...
Have you ever been sitting in a restaurant and watched someone add multiple pink, blue or yellow packets to their food or drink? Whenever I see one of these "packet aficionados," I just want to lean ...
 
 
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06:36 AM on 07/29/2010
Here's a more appropriate name for agave syrup: higher-fructose agave syrup (HFAS).
10:02 AM on 07/22/2010
Labeling high fructose corn syrup a “fake sweetener” is just incorrect. It’s simply a sugar that comes from corn instead of cane or beet. Just like table sugar, it’s made of fructose and glucose (and it can have less fructose than table sugar—42 percent—despite your claim otherwise). Sweeteners that could be labeled fake that comes in the colored packets you talk about are things like Sweet-n-low or Splenda, with fewer or no calories. Refined white table sugar and high fructose corn syrup both have the same number of calories. Far from what you suggest, all scientific evidence supports the fact that the two sweeteners are handled the same.
09:58 AM on 07/30/2010
But how much of the HFCS comes from genetically-modified corn? And how much of the cane sugar comes from genetically-modified sugar beets? The people deserve answers.
10:25 PM on 07/20/2010
Dr. One professional to another, you are presenting a very skewed, one-sided medical opinion. Your data is sorely lacking and actual studies collected over the last 20 years alone, you know, will outweigh any of your opinions. I suggest in the future trying to present a story taking into account all facts and data and step outside your medical box and think as a patient. Readers are very intelligent and well informed these days and dumping "cups of sugar" in their coffee to remove the bitter taste of subjective information only hurts your cause to reach large masses.
10:44 PM on 07/18/2010
This is such a useful post. Thanks! I became vegetarian about five years ago, and found that my craving for something sweet has increased drastically, so much so that I now look for a dessert after almost every meal. Now I know that this may be linked to a lack of protein.
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09:46 PM on 07/18/2010
Diabetic for 26 years. 'Fake sweetener' user for 26 years. H1a1c below 7 for all but three of my regular blood work draws over those 26 years. Insulin levels relatively the same, and if adjusted for age(slowing down at 45) may even be a little lower(my guess is due to the advance in types of insulin). This article suggest that after 26 yrs of 'fake sweeter' use, I should be using gallons of insulin to keep my blood sugar under control. The article also suggest that after 26 years of 'fake sweetener' use, I should be using bowls full of it to satisfy my cravings. Neither is true. The one glaring thing I see missing from this article is the supporting data(studies) to back up what is being claimed. I suggest taking the past legitimate(repeatable) studies(more than one) that support these claims and any current legitimate studies with preliminary data available and present that to the FDA or even NIH and let them do the same or similar studies to see if these statements are indeed accurate. I do know that my 26 year ongoing study does not support you statements.
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Mortifyd
06:51 AM on 07/19/2010
Your personal story is an anecdote, not data - and the fact that you are a diabetic certainly means you don't process any of it like the rest of us do with our own insulin.
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07:51 AM on 07/19/2010
Also note that the insulin used by almost all diabetics is identical to the insulin in your body. It is synthesized from human DNA. So difference between your insulin and my insulin is nil. However, my body does process differently than your's, sortta. My insulin response is the same as your's, but the trigger mechanism to release insulin and the source for that insulin is different. But, after the release and intake of insulin, my body processes just like your's.
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07:52 AM on 07/19/2010
And you're welcome. Glad to enlighten you.
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07:58 AM on 07/19/2010
chuckle...and another thing. I did not say that my responses to 'fake sweetener' are the norm, just a different view than what the author is preaching. I also follow-up with the suggestion to have a little more support for the bold statements that are made in the article, besides a 500 word article written 5 years ago from some interpreted data.
04:42 PM on 07/18/2010
Kept off my weight for thirty years -lost 30 pounds. Eat a very good and balanced diet. Drink 3 diet sodas a day-never drink any beverages except milk with calories. Beverages with sugar- what a waste of calories. Thank goodness for diet sodas and diet sweeteners. What a bunch of baloney not to use diet sodas and sweeteners to lose and control weight loss.
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09:26 PM on 07/18/2010
I agree with you. But it is on the internet, so it must be true.
04:29 PM on 07/18/2010
Lots of comments about diet sodas here. I used to retain water really badly until I stopped drinking Diet Coke. When I switched DC for water, all of a sudden I wasn't all puffy with swollen ankles anymore. Someone told me that it was because DC was full of salt. Whatever the reason, I'll never touch that stuff again.
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MerryW
10:43 AM on 07/18/2010
Are diet cokes adictive? Or is the idea addictive?
My sister has been told sugar substitutes trigger her migraines and she still drinks several a day.
They are also in school vending machines.
01:00 PM on 07/18/2010
Diet sodas are very much associated with migraines which is a long topic to answer but I would encourage someone with migraines to steer clear of fake sweeteners or anything containing them.

Susan B. Dopart, M.S, R.D.
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bodhibabe
*living art* empath-healer, meditator, counselor,
01:15 PM on 07/18/2010
aspartame (nutrasweet) is highly addictive... very hard to come off the stuff...(diet coke) but only 3 days of hell...
09:30 AM on 07/18/2010
My 17 yr. old daughter is insulin resistant. She is convinced that diet coke is an acceptable beverage. I have tried and tried to get her to take another look at her eating/drinking habits, but she will not. Is very frustrating.
12:58 PM on 07/18/2010
Although diet coke is free of calories it is the affect of the fake sweeteners on your insulin levels and sweet cravings which are already prevalent with insulin resistance. As you can see with multiple comments many people are reluctant to give up their diet coke. Your daughter will give it up when she is ready.

Susan Dopart, M.S., R.D.
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09:22 PM on 07/18/2010
Diabetic for 26 years. User of aspartame, et all, for 26 years. h1ac has been below 7 for all but three of my regular blood work over those years. Based on your words, my requirement for insulin should be through the roof after 26 years. But relatively the same, if not lower(do to the advances in the type of insulin available today vs. 26 years ago). And based on your words, I should be using a syringe to get my fix of 'fake' sweetener' after 26 years of use. I read your opinions, but see no referenced support for it. If you are going to preach this kind of message, get several reputable(repeatable) studies that support your message. Then take it to that body called the FDA or even NIH and have them do the same or similar studies. Until you can do this, preface you oped as such or at least mention some past or current legitimate that back up your opinion.
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09:40 PM on 07/18/2010
Diabetic for 26 years. 'Fake sweetener' user for 26 years. H1a1c below 7 for all but three of my regular blood work draws over those 26 years. Insulin levels relatively the same, and if adjusted for age(slowing down at 45) may even be a little lower(my guess is due to the advance in types of insulin). You comments suggest that after 26 yrs of 'fake sweeter' I should be using gallons of insulin to keep my blood sugar under control. Your comments also suggest that after 26 years of 'fake sweetener' use, I should be using bowls full of it to satisfy my cravings. Neither is true. The one glaring thing I see missing from this article is the supporting data(studies) to back up what you are saying. My suggestion is to take the past legitimate(repeatable) studies(more than one) that support you claims and any current legitimate studies with preliminary data available and present that to the FDA or even NIH and let them do the same or similar studies to see if these statements are indeed accurate. I do know that my 26 year ongoing study does not support you statements.
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Carachama
I'm not apt to follow blindly the lead of others
09:30 AM on 07/18/2010
The best thing I ever did for weight loss was to give up diet sodas. I don't nearly have the sugar cravings anymore. I still eat some sugar and learned that the real stuff (when I eat just a little) is not an enemy to me. In fact a little bit of the real stuff is plenty satisfying to me.
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JNo
Do Better
08:22 PM on 07/18/2010
Me too! For years, I thought diet sodas were an easy, healthy way to "cut calories" yet retain flavor. I'd easily drink a 2 liter bottle of soda over the course of a day. Eventually I got sick of always hauling soda home from the grocery store or always looking for a diet version when out & about, so I gradually stopped drinking soda. I rarely drink soda anymore because of my concern over HFCS.
12:54 AM on 07/17/2010
I "gave up" sugar back in the 1970's after reading Dr. Atkin's first two books. WHich I have found are the only two to read of his many. He promoted artifical sweetners in his "product line' after those two were published, and as far as I was concerned was then 'selling' his products, rather than speaking about any meaningful subjects about living without sugars. I have lived on complex carbs, proteins, vegetables etc. since. I also have added unsweetened berries and kiwi's. When limited in quantity I do not react to their sugar content, and usually are mixed with yougurt, tahini etc.

I happen to be hypoglycemic; and when sugars are introduced into my system, I can react with excess insulin, that causes crashes. The timing of these sometimes can be delayed by 24 hours or better.

It took many years to figure out diets, of what I can eat and not eat. I learned that I could not tolerate High Fructose Corn Syrup; but can tolerate dextrose and a few others; including very limited quantities of normal sugar.

Since being on this diet, I have learned that I no longer crave sugar; and if I have a sugar craving; it is usually because I have gotten some hidden sugar. And the most innoucuos ones have been attached to that "yellow' packet. With those I get crashes, and cravings. And usually they are delayed crashes.
11:53 PM on 07/16/2010
Back in the eighties, there was research going on about aspartame (Nutrasweet) and many physicians were not fond of it. There is something in it that INCREASES appetite. For that reason alone it's a good thing to avoid. I still prefer the saccharine sweetener and I don't use it enough to worry about bladder cancer. So if you rely on diet sodas, be warned that if you have more than one a day, you'll find yourself munching between meals. Better to cut sodas out altogether and just drink water. And if you want something that is probably good for you and fills you without giving calories, try a fiber like Metamucil, and you'll find that a glass before meals will fill you up and you'll eat less at your meal. A wise physician gave me that information over a year ago and I've lost 20lbs since with no effort at all. I feel better too. I'm 72. Just think about it.
09:32 AM on 07/18/2010
Would you happen to know who did the studies or where I might find this information? Thanks:)
11:13 PM on 07/16/2010
Stevia has been widely used in Japan from mid 1970's and is also widely believed to be useful in treating bleeding gums,cold and stomach problems. It is also a zero calorie as opposed to sugar. FDA opposed its use and is widely speculated it was owing to pressure from the sugar industry and protect the sugar industry in the United States.
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10:51 PM on 07/16/2010
Thank you for this article.
Reading this I realized how much artificial sweetener has become a part of my diet.
10:33 PM on 07/16/2010
With diet sodas, it may not be the sweetener that increases the appetite, but the caffeine. Has anyone compared drinkers of caffeinated diet sodas with drinkers of decaffeinated diet sodas?
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Carachama
I'm not apt to follow blindly the lead of others
09:23 AM on 07/18/2010
Caffeine is actually an appetite supressant - it is in all of the over the counter diet aids. It does have an effect on cortisol levels, however, which can increase weight gain.
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10:00 PM on 07/18/2010
Caffeine is in all over the counter diet aids to provide that boost to get you through the lack of energy you get for not eating because of the diet suppressor, not because it is an appetite suppressant.
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10:21 PM on 07/18/2010
And actually Caffeine is an appetite stimulant. Of course, I read this on the internet(in more than a few places), so it might not be true. Because it is a appetite stimulant, a wise choice of a 'diet' aid is one that contains no caffeine and uses not appetite stimulants to provide a boost in energy.