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Medical Forum / Diseases and Disorders / Diabetes / August 2006

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Sugar Free Foods

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jswessels@regmedctr.org - 30 Aug 2006 14:43 GMT
Sugar Free food lableing is very confusing to individuals with
diabetes.  Does anyone have an easy way to teach this topic.  I do have
them count the carb and evaluate the calories.  Thanks, jes
TigerLily - 30 Aug 2006 14:51 GMT
honey, molasses, all things ending with 'ose and
'ol as a general rule are all 'sugars'

some of the 'ols are very slowly absorbed and not
completely absorbed, so they become the bulking
agent for splenda or equal type products

fructose, sucrose, sorbitol, etc are sugars

hope this help
(and hope i'm corrected if i have sorbitol in the
wrong catagory)

kate
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> Sugar Free food lableing is very confusing to individuals with
> diabetes.  Does anyone have an easy way to teach this topic.  I do have
> them count the carb and evaluate the calories.  Thanks, jes
Charly Coughran - 30 Aug 2006 16:23 GMT
"TigerLily" <me@privacy.net> wrote in news:4lljh8F2gvj9U1
@individual.net:

> honey, molasses, all things ending with 'ose and
> 'ol as a general rule are all 'sugars'
[quoted text clipped - 10 lines]
>
> kate

You do, indeed, have sorbitol in the wrong catagory.  Sorbitol,
manitol, xylitol, and hydrogenated starch hydrolysates are the most
common examples of the sugar alcohols.  They are caloric sweeteners,
but contain less than the 4 calories/gram of carbohydrates.  (The
exact number of calories/gram was in dispute last time I looked.)  
They are more slowly absorbed than simple sugars and most
carbohydrates. This means they can elicit less of a blood glucose
spike than simple sugars.  Their disadvantage is that in larger
quantities (>30-50g on average) they can cause osmotic diarrhea.  They
are widely used in both diabetic and dietetic foods.

It is also useful to note that, in general, fructose is also much more
slowly absorbed than the other simple sugars.  It does, however, have
the full 4 calories/gram of all carbohydrates.  Note that it is
absorbed with a normal simple sugar rapidity in people with already
significantly elevated blood glucose.  Nothing in diabetes is simple.

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TigerLily - 30 Aug 2006 18:06 GMT
thank you Charly :-)
needed that correction and clarification

kate
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"Charly Coughran"
<ccoughran@REMOVE-TO-DELETE-UCSD.EDU> wrote in
message
news:Xns982F55B4B9235ccoughranucsdedu@132.239.1.221...

> "TigerLily" <me@privacy.net> wrote in news:4lljh8F2gvj9U1
> @individual.net:
[quoted text clipped - 30 lines]
> absorbed with a normal simple sugar rapidity in people with already
> significantly elevated blood glucose.  Nothing in diabetes is simple.
Herman Rubin - 30 Aug 2006 19:08 GMT
>honey, molasses, all things ending with 'ose and
>'ol as a general rule are all 'sugars'

This is not correct; the 'ol ending indicates an
alcohol.  There is no way that vitamin E, which
is a mixture of tocopherols and tocotrienols,
is a sugar; it is closest to being a fat.

>some of the 'ols are very slowly absorbed and not
>completely absorbed, so they become the bulking
>agent for splenda or equal type products

>fructose, sucrose, sorbitol, etc are sugars

Sorbitol is a "sugar alcohol", as is mannitol.
How much people metabolize them, and under what
conditions, is not accurately known.  
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Julie Bove - 30 Aug 2006 16:21 GMT
> Sugar Free food lableing is very confusing to individuals with
> diabetes.  Does anyone have an easy way to teach this topic.  I do have
> them count the carb and evaluate the calories.  Thanks, jes

What's confusing about it?  And who are you that you are telling diabetics
what to do?

We don't necessarily eat sugar free foods.  Sugar is not the culprit in
raising BG.  It's carbs.  And yes, even sugar free foods can have carbs.
Worse yet, many contain sugar alcohols that can act as a laxative.  Many
times we're better off just eating the real thing but less of it.
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bj - 30 Aug 2006 16:58 GMT
>> Sugar Free food lableing is very confusing to individuals with
>> diabetes.  Does anyone have an easy way to teach this topic.  I do have
[quoted text clipped - 7 lines]
> Worse yet, many contain sugar alcohols that can act as a laxative.  Many
> times we're better off just eating the real thing but less of it.

Even more worse -- sometimes the "sugar free" versions have even more carbs
than the regular versions! AND they don't even taste as good.

I eat *artificially* sweetened food (jello, soda, pudding, etc.) but
otherwise it's usually just the "real version" (cookies, ice cream, etc.)
bj
ray - 30 Aug 2006 18:02 GMT
On Wed, 30 Aug 2006 06:43:44 -0700, jswessels wrote:

> Sugar Free food lableing is very confusing to individuals with
> diabetes.  Does anyone have an easy way to teach this topic.  I do have
> them count the carb and evaluate the calories.  Thanks, jes

IMHO - 'sugar free' is pretty meaningless for a diabetic. Net carbs is the
more important number: total carbs - fiber.
W. Baker - 30 Aug 2006 18:25 GMT
: Sugar Free food lableing is very confusing to individuals with
: diabetes.  Does anyone have an easy way to teach this topic.  I do have
: them count the carb and evaluate the calories.  Thanks, jes

Yup!  Read the nutrition lael for carb content and beware of the "sugar
Alcohols" which are listed as carbs, but are suposed to be slower acdting
so don't spike.   Not all peole react like that to them, so some get the
same spikes.  Also!!!Big Warning!!! these terrible "tols" can give you the
trots in spades!!!

Essentially, as I said before, read the nutrition labels for carb numbers
and also watch the calories, like you said.

Wendy
Alan S - 31 Aug 2006 02:20 GMT
>Sugar Free food lableing is very confusing to individuals with
>diabetes.  Does anyone have an easy way to teach this topic.  I do have
>them count the carb and evaluate the calories.  Thanks, jes

You've had some good replies - read Charly again.

Who are you teaching? Are you a diabetes educator or someone
caring for a loved one? Tell us a little more about the
context here.

Just to reinforce one point. I ignore "sugar-free" as a
means of food selection. Just treat the sugar as part of the
carb count.

Cheers, Alan, T2, Australia.
d&e, metformin 500mg
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