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Medical Forum / Diseases and Disorders / Diabetes / November 2005

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HONEY and diabetes

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Atlantica - 02 Nov 2005 19:19 GMT
My mum is a type I and takes Gliclozide tablets daily.  Can she take some
honey (say on toast in the morning) or will the honey upset her blood sugar
levels?  Someone told me that honey contains natural sugars and therefore
will not affect blood sugar levels.
Alan Hardy - 02 Nov 2005 20:06 GMT
> My mum is a type I and takes Gliclozide tablets daily.

if she is a type 1 Gliclazide will have absolutely no effect, because there
will be no effective beta cells for the Glic to work on. so, possibly a
misunderstanding, or a typo.

>  Can she take some
> honey (say on toast in the morning) or will the honey upset her blood
> sugar
> levels?
no, she can't take honey without pushing up the blood glucose levels.

> Someone told me that honey contains natural sugars and therefore
> will not affect blood sugar levels.

unfortunately you were told a barefaced lie by a total idiot. i bet it
wasn't a doctor or dietician.

the reasons artificial sweeteners are made are two
1/ reduce gum/teeth disease
2/ because natural sugars INcrease blood glucose, you can use artificial
sweeteners to achieve the tast without the rise.

HTH

Alan H
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Alan S - 03 Nov 2005 02:56 GMT
>>  Can she take some
>> honey (say on toast in the morning) or will the honey upset her blood
>> sugar
>> levels?
>no, she can't take honey without pushing up the blood glucose levels.

Almost as much as the toast:-)

Cheers, Alan, T2, Australia.
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Everything in Moderation - Except Laughter.

Peter C - 02 Nov 2005 22:10 GMT
> My mum is a type I and takes Gliclozide tablets daily.  Can she take some
> honey (say on toast in the morning) or will the honey upset her blood
> sugar
> levels?  Someone told me that honey contains natural sugars and therefore
> will not affect blood sugar levels.

Honey is 82.1% carbohydrate, 17.4% fat and has a small amount of protein
0.3% and the rest is ash (0.2%). So being carb it is going to raise bgs (
depending on the amount of course ).
But funnily enough the Glycemic Index of Honey (83 when compared to bread )
is lower than bread ( 100) so the honey would raise the bg slower than the
toast - moral  ; have a teaspoon of honey in the morning if you must (
tested for its effect with your meter ) and chuck the toast in the bin. It's
the toast wot does the damage.
The producers of honey have been claiming that honey has a low GI and is
therefore Ok - it's misleading, the GI ( 83 versus bread at 100 and 55
versus pure glucose at 100 ) is lower than bread or glucose but it is NOT a
low GI food.
CeeBee - 03 Nov 2005 00:17 GMT
"Peter C" <peterc_2003@europe.com> wrote in alt.support.diabetes.uk:

> Honey is 82.1% carbohydrate, 17.4% fat and has a small amount of protein
> 0.3% and the rest is ash (0.2%). So being carb it is going to raise bgs
[quoted text clipped - 8 lines]
> versus pure glucose at 100 ) is lower than bread or glucose but it is
> NOT a low GI food.

Very true. Good to mention both Glycemic Index and the Glycemic Load as
well.
I guess you're referring to toast from white bread. Because you have all
kinds of (pretoasted) breakfast toast which will have a lower GI, although I
agree most will still have a higher GI than the honey, depending on the
type. Some honey types will have only 30% fructose, others more than 70%,
with the according effect for the BG per unit.

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CeeBee

***Ancient Wisdom in a Crunchy Treat***

CeeBee - 02 Nov 2005 23:56 GMT
"Atlantica" <atlantica@dsl.pipex.com> wrote in alt.support.diabetes.uk:

> My mum is a type I and takes Gliclozide tablets daily.  Can she take
> some honey (say on toast in the morning) or will the honey upset her
> blood sugar levels?  Someone told me that honey contains natural sugars
> and therefore will not affect blood sugar levels.

A diabetic, be it a Type 1 or a Type 2, is not able to process blood
glucose; a T1 because the pancreas doesn't produce any insulin, a T2
because the body has become resistent to the insulin produced by the
pancreas. As your mother uses medication, she's likely a T2 diabetic.
Gliclazide stimulates the pancreas to produce more insulin, and that's
impossible for a T1.

Blood glucose comes _almost_ (but not) completely from carbohydrate (carb)
intake, and it doesn't matter what carbs are responsible. "Natural sugars"
are carbs as well. It's the chemical composition making up the stuff, not
the fancy names given to them.

So her BG-level rises from carbohydrates.

Carbs come in a few different flavours.
The more simple they are, the easier they can find their way into the
blood stream (because less need to process them), and the faster they will
raise blood glucose levels.

You have:

"Sugars"
- monosaccharides, which are glucose, fructose and galactose (in some
dairy products)
- disaccharides, which are sucrose, maltose and lactose,
(all a combination of glucose and a monosaccharide)

"Polysaccharides":
- Starches (potatoes, wheat, rice etc.), glycogen (glucose as stored by
muscles and liver), cellulose are polysaccharids.

"Mono-" "di-" and "poly-" stands for the increasing complexity of the
carbohydrates. So glucose, fructose and galactose are the most simple
ones, and will raise her bloodglucose level most rapidly.

Honey consists for the largest part of fructose, a monosaccharide. It will
raise her blood glucose level very rapidly. As a comparison, starches will
have a same effect, but much slower. In this way one can "dose" the carbs
based on both the "carb speed" and the "carb amount".

If it is a  problem or not depends on the level of insulin resistance she
has, and her level of activity. A real good idea would be to check her
blood glucose level with a blood glucose meter, to see how she reacts
after eating different (types and amounts of) carbs. In that case she
should test before her breakfast (or meal) and two hours after.

Levels should be as normal as possible. After two hours she should have
values not (or at most abit) exceeding 115 mg/dl (or 6.5 mmol/l). The
value before her meal shows her the increase due to the carbs, which is as
valuable information as the absolute figures.

If you have doubts, remember to consult a doctor. In any age experimenting
with food must be done with care and consideration, and the older one
becomes, the more critical the care and considerations are. Good luck and
good health to her!

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CeeBee

***Ancient Wisdom in a Crunchy Treat***

Atlantica - 03 Nov 2005 17:43 GMT
Thanks to all of you for your help on this.  Can I ask another question?

My mother is regularly prescribed Lactulose Syrup for her constipation
problem.  The GP has assured that this is ok for a diabetic to take but we
have long been suspicious that it might raise her blood sugars.  Can you
advise on this?

Thanks

> "Atlantica" <atlantica@dsl.pipex.com> wrote in alt.support.diabetes.uk:
>
[quoted text clipped - 58 lines]
> becomes, the more critical the care and considerations are. Good luck and
> good health to her!
VBHol - 03 Nov 2005 18:35 GMT
> Thanks to all of you for your help on this.  Can I ask another question?
>
[quoted text clipped - 67 lines]
>>becomes, the more critical the care and considerations are. Good luck and
>>good health to her!

Bizarrely I found the best reference on a vetinary site ( in a quick
search):
----------------------
"Lactulose should not be taken by diabetics. Even though lactulose is
not readily absorbed by the mammalian intestine, there is still a small
percentage which is absorbed. In addition, there may be some unbound
fructose or galactose in the syrup, enough to be a problem for a
well-regulated diabetic."
From: http://www.marvistavet.com/html/body_lactulose.html
----------------------

Plus this from:
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682338.html
----------------------
"What special precautions should I follow?Return to top

Before taking lactulose,

    * tell your doctor and pharmacist if you are allergic to lactulose
or any other drugs.
    * tell your doctor and pharmacist what prescription and
nonprescription medications you are taking, especially antacids,
antibiotics including neomycin (Mycifradin), and other laxatives.
    * tell your doctor if you have diabetes or require a low-lactose diet."
----------------------

Strangely the BNF does not mention anything about diabetes in relation
to lactulose.  Your doc will have used the BNF for prescribing and if
there is nothing mentioned in the BNF then it can normally be assumed to
be safe by the doc.

However I would ask if it is possible to change to another type of
laxative.  It looks as though any effect will be marginal or negligable
but I would prefer to take it out of the equation if possible and remove
one variable from your BG management.

Hope this helps

AHA! I wrote that then found this:
http://www.pdrhealth.com/drug_info/nmdrugprofiles/nutsupdrugs/lac_0300.shtml

Hmmm.  Overall I think I would try and get it changed, personally.

VBH.
 
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