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Posted on 02-07-2012

Good morning!  Type 2 diabetes results from consuming too much refined carbohydrate over time and your body begins to reject it by essentially becoming resistant the the hormone that causes it all.....INSULIN.  This study from the Archives of Internal Medicine from 2008 illustrates the connection between consuming sugar sweetened drinks (the easiest way to get your sugar/calories because no chewing is required) and the diabetes connection.

FROM ABSTRACT

Background: Type-2 diabetes mellitus is an increasingly serious health problem among African American women.

Consumption of sugar-sweetened drinks was associated with an increased risk of diabetes in 2 studies.

Our objective was to examine the association between consumption of sugar- sweetened beverages, weight gain, and incidence of type-2 diabetes mellitus in African American women.

Methods: A prospective follow-up study of 59,000 African American women has been in progress since 1995. Participants reported on food and beverage consumption in 1995 and 2001. Biennial follow-up questionnaires ascertained new diagnoses of type-2 diabetes. The present analyses included 43,960 women who gave complete dietary and weight information and were free from diabetes at baseline.

Results: The incidence of type 2 diabetes mellitus was higher with higher intake of both sugar-sweetened soft drinks and fruit drinks.

After adjustment for confounding variables including other dietary factors, the incidence rate ratio for 2 or more soft drinks per day was [a 24% increased risk]. For fruit drinks, the comparable incidence rate ratio was [31% increased risk].

Conclusions: Regular consumption of sugar-sweetened soft drinks and fruit drinks is associated with an increased risk of type-2 diabetes mellitus in African American women.

While there has been increasing public awareness of the adverse health effects of soft drinks, little attention has been given to fruit drinks, which are often marketed as a healthier alternative to soft drinks.

THESE AUTHORS ALSO NOTE:

"Type 2 diabetes mellitus, a leading cause of morbidity and mortality in the United States, has increased in incidence in recent years, and the mean age at diagnosis has dropped."

"Type-2 diabetes is a particular problem among African American women,

among whom the incidence rate is twice that of US white women."

"Obesity is the strongest modifiable risk factor for type 2-diabetes, and much of the excess incidence in African American women is due to their high levels of overweight and obesity."

RESULTS

"In this prospective study of African American women, consumption of sugar- sweetened soft drinks was positively associated with incidence of type-2 diabetes."

"Women who consumed 2 or more soft drinks per day had a 24% increase in incidence relative to women who drank less than 1 soft drink per month."

"A similar association was observed for sweetened fruit drinks, with a 31% increase observed for 2 or more drinks per day relative to less than 1 drink per month."

"These beverages are dense in calories and are typically consumed as an addition to usual food intake. Several studies have shown that liquid foods have a low satiety and that when individuals increase consumption of liquid carbohydrates, they may not reduce consumption of solid food in response."

"High-fructose corn syrup, which is now the sweetener used in all sugar- sweetened soft drinks consumed in the United States, appears to be particularly effective at promoting weight gain because of its adverse effects on insulin secretion and leptin release, leading to a reduction in the normal inhibitory effect on food intake."

"Interestingly, orange and grapefruit juice consumption was not associated with an increased risk of diabetes in our study, perhaps because these beverages are typically consumed as part of a meal rather than between meals. The naturally occurring sugars in orange and grapefruit juices (glucose and fructose) may also have different metabolic effects than the high-fructose corn syrup that is added to soft drinks."

"Our data indicated that women who increased their intake of sugar- sweetened soft drinks had a considerably higher weight gain over a 6-year period than did women who reduced consumption."

"Our study suggests that the mechanism for the increase in diabetes risk associated with soft drink consumption is primarily through increased weight."

Finally, the public should be made aware that fruit drinks are "not a healthy alternative to soft drinks with regard to risk of type-2 diabetes."

KEY POINTS I WANT YOU TO KNOW

1) "Type-2 diabetes mellitus is an increasingly serious health problem among African American women."

2) Regular consumption of sugar-sweetened soft drinks and fruit drinks is associated with an increased risk of type-2 diabetes mellitus in African American women.

3) While there has been increasing public awareness of the adverse health effects of soft drinks, little attention has been given to fruit drinks, which are often marketed as a healthier alternative to soft drinks.

4) "Type-2 diabetes is a particular problem among African American women, among whom the incidence rate is twice that of US white women."

5)  Obesity is the strongest modifiable risk factor for type 2-diabetes.

6)  "In this prospective study of African American women, consumption of sugar- sweetened soft drinks was positively associated with incidence of type 2 diabetes."

7) "Women who consumed 2 or more soft drinks per day had a 24% increase in incidence relative to women who drank less than 1 soft drink per month."

8) Women who consumed 2 or more sweetened fruit drinks per day had a 31% increase incidence relative to less than 1 drink per month.

9) "These beverages are dense in calories and are typically consumed as an addition to usual food intake. Several studies have shown that liquid foods have a low satiety and that when individuals increase consumption of liquid carbohydrates, they may not reduce consumption of solid food in response."

10) "High-fructose corn syrup, which is now the sweetener used in all sugar- sweetened soft drinks consumed in the United States, appears to be particularly effective at promoting weight gain because of its adverse effects on insulin secretion and leptin release, leading to a reduction in the normal inhibitory effect on food intake."

11) "Our data indicated that women who increased their intake of sugar- sweetened soft drinks had a considerably higher weight gain over a 6-year period than did women who reduced consumption."

12) "Our study suggests that the mechanism for the increase in diabetes risk associated with soft drink consumption is primarily through increased weight."

13) The public should be made aware that fruit drinks are "not a healthy alternative to soft drinks with regard to risk of type-2 diabetes."

While it is true this problem affects African American women, it truly is a disease that is blind to race or sex.  We should all be monitoring our risk factors for this horribly complicated disease.

Have a blessed day!

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