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The not-so-sweet truth about sugar -- a risk choice?
American Society of Nephrology ^ | November 22, 2010 | Unknown

Posted on 11/22/2010 4:43:33 PM PST by decimon

Increasing evidence shows that excess fructose may play role in diabetes, obesity and other health conditions

More and more people have become aware of the dangers of excessive fructose in diet. A new review on fructose in an upcoming issue of the Journal of the American Society of Nephrology (JASN) indicates just how dangerous this simple sugar may be.

Richard J. Johnson, MD and Takahiko Nakagawa, MD (Division of Renal Diseases and Hypertension, University of Colorado) provide a concise overview of recent clinical and experimental studies to understand how excessive amounts of fructose, present in added sugars, may play a role in high blood pressure, diabetes, obesity, and chronic kidney disease (CKD).

Dietary fructose is present primarily in added dietary sugars, honey, and fruit. Americans most frequently ingest fructose from sucrose, a disaccharide containing 50% fructose and 50% glucose bonded together, and high fructose corn syrup (HFCS), a mixture of free fructose and free glucose, usually in a 55/45 proportion. With the introduction of HFCS in the 1970s, an increased intake of fructose has occurred and obesity rates have risen simultaneously.

The link between excessive intake of fructose and metabolic syndrome is becoming increasingly established. However, in this review of the literature, the authors conclude that there is also increasing evidence that fructose may play a role in hypertension and renal disease. "Science shows us there is a potentially negative impact of excessive amounts of sugar and high fructose corn syrup on cardiovascular and kidney health," explains Dr. Johnson. He continues that "excessive fructose intake could be viewed as an increasingly risky food and beverage additive."

Concerned that physicians may be overlooking this health problem when advising CKD patients to follow a low protein diet, Dr. Johnson and Dr. Nakagawa recommend that low protein diets include an attempt to restrict added sugars containing fructose.

###

Disclosures: Dr. Johnson and Dr. Nakagawa are listed as inventors on several patent applications related to lowering uric acid for the treatment or prevention of hypertension, diabetes, and fatty liver. Dr Johnson has also published a book, The Sugar Fix that covers this topic for the general public.

The article, entitled "The Effect of Fructose on Renal Biology and Disease," will appear online at http://jasn.asnjournals.org on November 29, 2010, doi 10.1681/ASN.2010050506.

The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.

Founded in 1966, the American Society of Nephrology (ASN) is the world's largest professional society devoted to the study of kidney disease. Comprised of 11,000 physicians and scientists, ASN continues to promote expert patient care, to advance medical research, and to educate the renal community. ASN also informs policymakers about issues of importance to kidney doctors and their patients. ASN funds research, and through its world-renowned meetings and first-class publications, disseminates information and educational tools that empower physicians.


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To: Paulus Invictus
It's not just sugar but the "fake" man-made sugar from corn, the high fructose corn syrup that is the main culprit for the huge increase in diabetis and obesity.

No, it's not. It's the qty of sugars being consumed that is causing the increase. You could replace all of the HFCS in foods with any other type of sugar and the results would be identical. This increase in the amount of sugars consumed by Americans is mostly due to the arrival of "low fat" and "no fat" foods- where the fats were replaced by sugars.
21 posted on 11/22/2010 6:30:21 PM PST by WackySam (To argue with a man who has renounced his reason is like giving medicine to the dead.)
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To: Paulus Invictus
It's not just sugar but the "fake" man-made sugar from corn, the high fructose corn syrup that is the main culprit for the huge increase in diabetis and obesity. The food and juice manufacturers put it in most every food and drink. It's much cheaper than real cane sugar. Look it up and learn.

Even Pepsi got the message recently and produced a new "Throwback" Pepsi made with only cane sugar. It tastes great, better than their sucrose-laden drink, but it is hard to find in the stores. Costco sells Mexican-made Coca Cola that is also made with cane sugar. It's not as tasty as the Throwback Pepsi, but both are bad for your health.

Chemically, I think the major difference between corn syrup and cane sugar (sucrose) is that the former is a mixture of fructose and glucose in monosaccharide form, and the latter is fructose and glucose covalently bonded as disaccharides. Your body makes and breaks those bonds fairly readily, so there is no reason to think that, biologically speaking, the difference is significant. Also, I have no idea what you mean by "man-made", since all sugars are extracted from plants.

I don't drink sodas. The taste of them isn't that good, and trying to swallow a carbonated fizzy liquid feels like trying to swallow a suspension of tiny glass shards. Plus, the sugar in sodas and other drinks makes them so sweet and thick, they could almost be used as a pancake syrup. Why so many people like them is a complete mystery to me.

22 posted on 11/22/2010 6:38:36 PM PST by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: WackySam

Personally? I’m not a chemist or even a doctor. What I do know is that several medical doctors (both family practice and an endocrinologist/diabetes specialist) have made such statements.

I had a college professor “way back” in 1990 or 91 (been a long time) who was heavily involved in biomedical research both in oncology and endocrinology who made such a statement back then.

And then you have the direct experience of both family members and others I know personally who have “put it to the test” by experimenting with their blood sugar levels with “natural” sugars vs. HFCS-based sweeteners in their diets. Without fail, HFCS caused a much higher spike in blood sugar, with a much more pronounced drop/bottoming out of the levels in short order.


23 posted on 11/22/2010 6:41:57 PM PST by TheBattman (They exchanged the truth about God for a lie and worshiped and served the creature...)
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To: WackySam
This increase in the amount of sugars consumed by Americans is mostly due to the arrival of "low fat" and "no fat" foods- where the fats were replaced by sugars.

It's tempting to think that part of the obesity "epidemic" is caused by so-called experts trying to alter the diet according to whatever is the result of their latest "study." In school, I was taught that there are four main food groups, and that I should have a little of each in every meal. Now there's the "food pyramid" which has so many food groups and recommends so many servings that it seems anyone following it would get fat.

24 posted on 11/22/2010 6:46:57 PM PST by exDemMom (Now that I've finally accepted that I'm living a bad hair life, I'm more at peace with the world.)
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To: WackySam; All; SoldierDad
You could replace all of the HFCS in foods with any other type of sugar and the results would be identical.

True, but Soldier Dad has information on new chemicals he has discovered. They are called "complex sugars" and they won't make you fat.

He claims they are in orange juice which "isn't fattening"

Hopefully he can come here and inform all us high-glycemic food index types with the good news.

25 posted on 11/22/2010 6:54:14 PM PST by ROCKLOBSTER (Celebrate: Republicans freed the slaves Month.)
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To: TheBattman
Without fail, HFCS caused a much higher spike in blood sugar, with a much more pronounced drop/bottoming out of the levels in short order.

The only way the spike would be lower is if the "natural" sugar had *more* fructose than HFCS. It's for this reason that Doctors *used to* tell their diabetic patients to replace the sucrose in their diets with fructose. They don't do that anymore because of the health concerns of a high fructose diet (high triglycerides, liver damage, and metabolic syndrome).
26 posted on 11/22/2010 7:01:59 PM PST by WackySam (To argue with a man who has renounced his reason is like giving medicine to the dead.)
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To: Freedom4US
I disagree, sugar is not “bad”, it is a wonderful food that is relatively inexpensive and packs a lot of calories in a small space.

Ok, I'll agree. Of course any food in large amounts can be "bad" for you. My point is that as carbohydrates go, HFCS is not that much different than sugar. Both are bad when consumed in excess.

27 posted on 11/22/2010 7:24:21 PM PST by Paradox (Palin, the female Rush. I wish she would stay that way.)
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To: decimon
Part of the correlation between the usage of HFCS and obesity rates may be what HFCS does to our hormones. Taking in excessive fructose can increase the amount of the hormone ghrelin which signals us to be hungry, and for a longer period of time than normal. And it can cause leptin resistance when leptin should be telling us to stop eating. Then there's the problem of fructose being metabolized by the liver instead of cells as glucose is - not only is it messing with leptin, it's also preventing insulin from being released the way it needs to. Taking in the crazy amount of fructose through HFCS simple means blasting havoc to a person's metabolic and endocrine systems. Personally, removing many of the endocrine disruptors from my diet and life style have been very beneficial to my health. Others may scoff but I consider HFCS as poison and simply avoid it. The improvements in my health in the last six months have been proof enough. A bit subjective but there it is.
28 posted on 11/22/2010 8:30:19 PM PST by Ladysmith ("A community organizer can't bitch when communities organize." Rush Limbaugh)
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To: decimon

this just in, eating any amount of anything will eventually kill you!!!! Film at 11.


29 posted on 11/22/2010 9:39:22 PM PST by GraceG
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To: TheBattman

Just between you, me, and the wall, I believe that history will show that HFCS is one of the most severe slow-acting poisons in the entire history of the human race.

Just an opinion.


30 posted on 11/23/2010 4:11:47 AM PST by Jack Hammer
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To: bigheadfred
I know that’s a long shot since there are a lot of people who seem to know nothing about personal responsibility.

Not to mention that most people today have absolutely no idea how to cook from scratch. My husband took my homemade cookies to work on a food day and the other ladies wanted to know where he bought them. He said I made them from scratch and then they wanted to know what brand of cookie mix I used. They didn't get the whole start with flour and eggs and butter thing.

31 posted on 11/23/2010 4:19:04 AM PST by Vor Lady
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To: Cricket24

Good job, glad you feel better.


32 posted on 11/23/2010 7:13:49 AM PST by Moleman
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To: Jack Hammer
Just between you, me, and the wall, I believe that history will show that HFCS is one of the most severe slow-acting poisons in the entire history of the human race. Just an opinion.

Inactivity and overeating are the true poisons.
33 posted on 11/23/2010 7:44:07 AM PST by WackySam (To argue with a man who has renounced his reason is like giving medicine to the dead.)
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To: Vor Lady

My dad makes the best bread ever. All kinds. Not in a bread machine. I haven’t quite got his method down. Makes you never to want to eat store bought bread again. One hint: Makes sure the flour you use is 100% wheat flour. Lots of them have barley flour, too.


34 posted on 11/23/2010 9:29:13 AM PST by bigheadfred (/s happens)
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To: WackySam

Okay, that makes three. Happy now?


35 posted on 11/23/2010 10:22:02 AM PST by Jack Hammer
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To: Jack Hammer

If you want to treat HFCS as a poison and remove it from your diet, I say go for it. Just don’t go and replace those missing calories with something much more poisonous- like apple juice.


36 posted on 11/23/2010 12:50:14 PM PST by WackySam (To argue with a man who has renounced his reason is like giving medicine to the dead.)
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To: WackySam

Apple juice? Is bad for health??? That’s a new one on me...


37 posted on 11/23/2010 1:08:51 PM PST by Jack Hammer
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To: Jack Hammer
Apple juice? Is bad for health??? That’s a new one on me...

Unsweetened apple juice is 64% fructose.
38 posted on 11/23/2010 1:26:32 PM PST by WackySam (To argue with a man who has renounced his reason is like giving medicine to the dead.)
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To: WackySam

Thanks for the heads up - I’ll cross it off my shopping list.


39 posted on 11/23/2010 1:46:11 PM PST by Jack Hammer
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To: bigheadfred
the flour you use is 100% wheat flour

Yep, grind my own in my own mill. I prefer winter hard red. What does your dad use?

40 posted on 11/23/2010 7:11:22 PM PST by Vor Lady
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