Global Health Asia-Pacific May 2020 | Page 50

Holistic Health For most of us, all sugars are equal It’s a myth that some types of sugar are healthier, except if you’re a diabetic or looking for certain nutrients S wapping table sugar for a sweetener derived from fruit or honey may be a healthier option, although probably not for the type of people who seek it out most. As urban tastes turn more artisanal and menus become increasingly descriptive, a natural, fruit-based adjective is bound to sound more appealing to health- conscious consumers. Examples like agave sugar or Manuka honey are being tipped as healthier alternatives to sugar, but only diabetics will really benefit from such distinctions. Put broadly, sugar is simply sugar, whichever form it takes. In terms of calories and nutrition, a fructose, with its origins in fruits, vegetables, and honey, and sucrose, from refined cane, are about the same. Even though the fancier coconut sugar or evaporated cane sound better than refined table sugar, they all behave the same way once consumed. While generally true, there is one key area where these distinctions can make a health difference. Blood glucose and insulin levels have been found to be lower after consuming food or drink that contained fructose, rather than sucrose or glucose. Scientists know that a sharp rise in blood glucose after consuming table sugar is a risk factor for diabetics. But it’s now known that fructose works differently and is converted by the liver before it can affect glucose concentrations in the blood. “It takes time for this conversion to take place with fructose, meaning that it’s nearly impossible for it to give the body the near-immediate sugar hit we get from sucrose or glucose,” said Dr Kerry Mills, who made this finding while working at Canberra University in 2017. “What it can do is lower blood glucose levels, and this is very important for people with diabetes, who must monitor and control these levels,” she told Global Health Asia-Pacific. But while the results show healthier sugar choices can make a difference for people with diabetes, fructose should not be seen as “some kind of health food.” “High sugar intakes can lead to health problems, and everyone should be trying to cut out sweet treats. But if sugar consumption can’t be avoided, it’s probably better to choose products with fructose over other types of sugar,” Dr Mills added. Despite there being little difference in the composition of different types of sugar, some natural sweeteners come in a medium that provides additional nutrients to boost health. For example, one study published in the Journal of the American Dietetic Association found that substituting so-called “healthy” sweeteners such 48 MAY 2020 as molasses, maple syrup, and honey can increase antioxidant intake and offer other benefits, though they still contain similarly high numbers of calories. Honey is packed with enzymes, antioxidants, iron, zinc, potassium, calcium, phosphorous, vitamin B6, riboflavin, and niacin. Maple syrup is an outstanding source of manganese and contains calcium, potassium, and zinc, while molasses is rich in copper, calcium, iron, potassium, manganese, selenium, and vitamin B6. For those cutting carbohydrates out of their diet entirely, stevia has gained widespread popularity on a commercial level. Completely calorie-free and some 200 times sweeter than sugar, stevia is recommended by the American Diabetes Association as a sugar substitute. n GlobalHealthAndTravel.com