week 4 Flashcards

1
Q

sugar

A

all sugar , no matter what form, is metabolized the same way and ends up in your blood as glucose
- fruits five you water vitamins , minerals and fiber
- concentrate vs dilute naturally occurring sugars
- can contribute to nutrient deficiency by displacing other nutrients
- natural honey vs purified sugar.. fructose and glucose is still fructose and glucose
- real food first

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2
Q

sugar and diseases

A
  • Sugar has been linked to many diseases including diabetes, obesity, dental caries, poor mood, poor gut
    microbiome, hyperactivity, heart disease, glucose intolerance
  • excess sugar is the key link for increased inflammation and high blood triglycerides
    -sugar has the most directly link ti cavities
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3
Q

sugar and dental health

A

-Bacteria in mouth ferment sugars ,and produce an acid that erodes tooth enamel
-Exposure to sugar and the length of time that sugar is on the teeth promotes an acidic environment for
bacteria to act on tooth enamel
-Brush teeth after meals! Or end your meal with some cheese as these neutralize the acid and stimulate
salivary flow
-Avoid sticky foods such as gummy
candies, and sugary drinks

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4
Q

how much sugar should you be having

A

-added should be less than 10% but 25% is considered UL
-<5-9 teaspoons per day added sugar
- 1tsp = 5ml=5g=20kcal

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5
Q

Recommendations
to reduce added
sugar intake

A

-Use less table sugar on foods
-Use sugar to sweeten nutrient dense foods instead of consuming sweets alone
-Choose water, milk, unsweetened tea instead of soft drinks, sports drinks,
and energy drinks
-Fruit for dessert instead of sweets
-Use fruit to sweeten
-Use spices to enhance flavour
-Read labels and use ingredients lists

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6
Q

sugar subs

A

Nutritive
-sugar alcohols
- few calories
- no impact on dental caries
-sugar free candies
-may cause gas
lower GI response

non nutritive
- no calories
- aspartame
-saccharin
-suralose
-stevia

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7
Q

sugar alcohols (polyols)

A

-Occur naturally in fruits and veggies
-Used in processed foods to add bulk and
tecture, a cooling effect, or a sweet taste
-Used in processed foods to prevent
browning from heat, and to retain mosture
-Provides bulk and sweetness in cookies,
candies, jams
-These provide calories! But fewer than
those from sugar
-Produce a LOW glycemic response, they are
slower to enter the bloodstream than other
sugars
-May be metabolized by bacteria in GI tract
gas, digestive distress
-Remember…. the P in FODMAP
-Do not contribute to dental caries as
bacteria in the mouth cannot metabolize
these as fast

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8
Q

aspartame

A

-most widely studied food additive
-many reports of reactions
made from 2 amino acids (aspartic acid and
phenylalanine)
-cancer society deems safe
-cannot be heated
-200x sweeter than sucrose
-must be reported on label and state source
of phenylalanine (PKU…)
-ADI= 40 mg/kg bodyweight

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9
Q

sucralose

A

Made from sugar, but chlorine molecules replace an H and O so it passes through the body, and is heat stable.
600x sweeter than sugar.
ADI = 8.8mg/kg body weight = 6 cans of diet pop

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10
Q

stevia

A

‘Sweet leaf’ plant. Rebaudioside A plant from south america, 200-300x
sweeter than sugar. Approved for use in health food products, some
drinks, and foods. ADI = 4mg/kg body weight.
Dried and inulin is added for substance. You need SO LITTLE that there
are virtually no calories

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11
Q

how quickly glucose is absorbed

A

after someone eats, how high it rise in BG and a smooth return to normal

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12
Q

low glycemic response

A

slow absorption, modest rise in BG and a smooth return to normal

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13
Q

high glycemic response

A

fast absorption, surge in BG and plunging below normal

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14
Q

glycemic index quick facts

A

It measures how fast and how much BG rises
-The scale uses 50g glucose or a piece of white bread as the reference
-Foods are compared to it and categorized as low, medium, or high glycemic index
-Can be a valuable tool for athletes, people with diabetes, those concerned about heart disease
-low: legumes, milk products
-moderate: whole grains, fruits
-high: refined carbohydrates, breads,cereals

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15
Q

high glycemic chart

A

release energy
feel hungry sooner
eat more
drastic spikes in BG

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16
Q

low glycemic chart

A

release energy slowly
feel full longer
eat less

17
Q

using it

A

Generally, foods with more protein, fat, complex CHO, and fiber are lower
-lower GI foods help keep BG in the happy zone
- as soon as you combine different foods, you usually lower the glycemic index
- its not alway as simple as simple CHO vs complex CHO
- potatoes are a complex CHO cut increase BG fast due to higher starch

18
Q

glycemic load vs the index

A

glycemic load= (Gi value x g CHO perserving)/100
-glycemic load over 20 is high
a reflection of both the glycemic index and the amount of CHO the glycemic index is based on 50g of CHO

19
Q

practicality

A

-determined for relatively few foods
- digestion impacts glycemic response
-not provided on food labels
-based on an average of multiple test with wide variation
- method f preparation/cooking impacts glycemic response
- only when 50g of the food is eaten ALONE

20
Q

intermittent fasting ans diabetes

A

-Studies on safety and implications are limited
-The evidence to build a sound guideline
for people with diabetes and IF is almost non existent
-Advised to ONLY be done under the supervision of a medical professional
and with proper BGL monitoring
-No clinically significant results seen in the reduction of A1C or BGLs
-IF has similar weight loss, blood lipid, blood pressure results to energy restriction
-Recommendations focused on WHEN to eat, not WHAT to eat
-Drawbacks and complaints: headache, constipation, irritability, poor sleep, dizzy
…diabetes specific risks?