How to Approach the Sugar Epidemic

It was ironic.  And a little bit sick.  Not nearly as sick as an airport television tuned in to a feature on plane crashes or that particular vendor in Pompeii selling snow globes of the doomed city.  But still.  As I was researching this article, a pop-up video advertised a delicious recipe using Reese’s peanut butter cups.

SO not fair.

But I’ll admit, at first the video didn’t seem out of the ordinary…so common and everyday is our exposure, in media or on the dinner table, to sugary nirvana.

It may be the 21st century but humans still have cave person brains.  Did our ancestors have cupcakes?  No.  (Paleo cupcakes are a modern-day creation.)  But they all had sweet teeth.  When they found something sweet (read:  with quick energy) in their world absent of refined sugar, they devoured it.  In the current day, we have an abundance of sugar and sugary options…and our inner cave person goes mastodon-wild and we give in every time.  But instead of sustaining us,

 

sugar is killing us.

 

What do we do about this sugar epidemic?  How do we curb the urge for sugar and make healthier food choices?  First of all,

 

We need to know what’s in the food we buy. 

We can only make better choices if we scrutinize the nutritional labels.  And food manufacturers make it hard to interpret these labels.  So let’s decipher them together.

By the numbers.  Nutritional labels list sugar content in grams.  And there are 4 grams of sugar in one teaspoon.  The American Heart Association recommends women get no more than 24 grams (six teaspoons) of added sugar daily, and men 36 grams (nine teaspoons).  Given the typical American gets a whopping 22 teaspoons of added sugar daily (which amounts to an extra 350 calories), this recommendation is a major upheaval in the American diet-as-usual. (But don’t panic.  See below for some helpful guidelines in reducing the added sugar.)

 

I saw this cookie in the checkout line at the store (always the grocery store’s red light district) but was intrigued by the words “cookie” and “16 g protein” on the front of the package.

 

I loved all the facts listed. But it is a cookie and a processed food. On closer examination this somewhat clean treat packs 14 grams of added sugar, which would be more than half my daily allowance. Bummer. And no offense, Lenny and Larry, but at this point and time I had to say “no thanks.”

 

Order is important.  What’s inside that food package is listed in order by weight on the ingredients list on the back, or under the fold (which drives me crazy when I look at energy bars and I wonder if that’s by design…), with the “weightiest” listed first.  So if sugar in any form is listed as the first or second ingredient in a product, put it back on the shelf.  It’s super-bad nutritionally.

But don’t just look for the word “sugar” on those labels.  This is where things get complicated.  Remember, high fructose corn syrup is the Voldemort of sweeteners (more fat-making than other sweeteners), but if either “sugar” or “high fructose corn syrup”  doesn’t appear on the ingredients list, that doesn’t mean that food item is healthy.  Multiple different sweeteners (by uncommon names) can be added to a product, giving the impression that added sugar is pretty low…but it isn’t.  It’s a divide (more added sugar, but less of each type)-and-conquer (your health and pocketbook) kind of scheme.  So here is a listing of common sweeteners to watch for when examining those nutrition labels (they all mean “added sugar”):

 

Agave nectar Evaporated cane juice Malt syrup
Brown sugar Fructose Maple syrup
Cane crystals Fruit juice concentrates Molasses
Cane sugar Glucose Raw sugar
Corn sweetener High-fructose corn syrup Sucrose
Corn syrup Honey Syrup
Crystalline fructose Invert sugar
Dextrose Maltose

 

Note:  Help may be on the way.  The FDA is working to revamp nutritional labels to make it easier for consumers to interpret sugar content in packaged foods.  The goal for new labelling is January of 2020.
How to reduce sugar intake now.
Here’s what you’ve been waiting for.  It’s going to feel like a total about-face on our eating habits but know the change from a hefty 22 grams of daily sugar to six doesn’t have to be done overnight.  Target one thing to eliminate at a time, per week or even two.  Go at a pace you feel works for you and your family but keep moving in the direction of reducing the added sugar.
What to eliminate:
sugary sodas
breakfast cereals
flavored yogurt
many energy bars
specialty drinks at your favorite coffee shop
Take a look at nutritional labels…you will be amazed at how much sugar even “healthier” options like raisin bran, certain greek yogurts and energy bars contain…almost your daily allowance.  And remember, reshelve those packaged foods that list a sweetener (refer to the table above) as the first or second ingredient.
What to substitute:
water flavored with low-sugar fruit or veggies
plain steel-cut or rolled oats flavored with a touch of honey
plain yogurt sweetened with fresh fruit or a touch of agave nectar***
eggs!
almonds with dried fruit (low-sugar where possible as dehydrated fruit has a higher concentration of sugar after being dried.)
a latte with a shot of sugar-free syrup (ask what the sweetener is, first!)
***I was so happy (but surprised) when my son told me he really liked plain yogurt.  Then I found out he was dumping several tablespoons of honey on top of it.  I told him to try just a teaspoon…that would be just right:)
But doesn’t fruit contain sugar?
It does.  And in the form of fructose.  And high fructose corn syrup is considered Public Diet Enemy Number One.  Confused?  Can’t blame you.  But here’s the thing:  whole fruit contains naturally occurring sugar, not added sugar in the case of processed foods.  While still containing sugar, fruit packs in important antioxidants and nutrients our bodies need to be strong and healthy.  What’s more, whole fruits contain fiber, which slows the absorption of sugar.  Processed foods are low in overall nutritional value AND can pack several days worth of sugar into a single serving.  So go with whole fruit (or sparingly use dried) to satisfy your sweet tooth.

Dried apple chips. No added sugars. No added nothin’.

 

Now look at the back of the package. These apples are a pretty clean snack. But look at the natural sugar content…18 grams a serving. Remember, the sugar is concentrated because the fruit is dried. But it is best to eat these sparingly, and with a nut butter for protein.

 

And certain fruits are lower in sugar than others but are still plenty delicious.  Choose these:
berries
grapefruit
tomatoes
bananas “just ripe” and with few to no black spots
green apples (as compared to red)
Avoid:
Canned fruit, especially that packed in any kind of syrup (sugar)
Limit (as these fruits contain more sugar):
bananas with sugar (black) spots
red apples
cherries
mangos
dried fruit (especially if it has added sugar)
What about Stevia?
Stevia seems like a small miracle.  It’s plant-based.  It has no calories.  And it’s 200-times sweeter than sugar.  And it may be beneficial in the treatment of common diagnoses like obesity, diabetes and high blood pressure (more research is needed in these areas, though).  Again, be sure to consult the ingredient label before purchasing and using.  Only high-purity steviol glycosides have been approved by the FDA for use in food.  Crude stevia leaf extract and stevia leaf (as found in other plant-based sweeteners) are not approved and may interact with certain prescription drugs and affect blood sugar and the function of the reproductive system, kidneys and heart.  Avoid sweeteners (and other food items) that contain either stevia leaf extract or crude stevia leaf or both.
Basic glossary of sugars, for your reading enjoyment…:

Glucose (aka blood sugar).  Most carbohydrates we eat are broken down into this simple sugar, which then stimulates the pancreas to secrete insulin.  Insulin moves glucose into cells for immediate use for cellular functions or, if glucose is in excess, stores it in the liver as glucagon.

Fructose (aka the Voldemort of sugar). We see food labels everywhere touting “no high fructose corn syrup.”  This is important because fructose, found in produce but also shunned as an added sweetener, is not used by the body in the same way that glucose is.  It is more fat-making so consuming it can lead to obesity and the health problems associated with it like diabetes, high blood pressure and cancer. 

Sucrose (aka the sugary love child).  Put glucose and fructose together, and we get the simple sugar commonly know as table sugar, made from sugar cane or sugar beets and also found naturally in produce.

 

Sources/links for this post:

http://www.hsph.harvard.edu/nutritionsource/carbohydrates/added-sugar-in-the-diet

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