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Although in medical terms it’s flabby and

redundant, “sugar diabetes” is a good

name for what undermines the health

of as many as 33 million Americans.

Experts have long known that being overweight

is a major risk factor for developing what once was

called “adult-onset” diabetes. But sugar itself did

not shoulder quite so much of the blame until the

results of a decade-long study conducted in 175

countries hit academic and mainstream pub-

lications like, well, a sugar bomb.

Ramping up the fright factorare recent statistics from the Cen-ters of Disease Control, covering2005-2010, showing that Amer-ican men and women are con-suming 13 percent of theirdaily calories in added sugar —which means sugar not natu-rally occurring in food butadded in processing.

A collective sweet tooth,indeed.

Pediatric endocrinologistDr. Robert Lustig of the Uni-versity of California, SanFrancisco, and three otherauthors published their resultsFeb. 27.

The unwieldy title: “The Rela-tionship of Sugar to Population-Level Diabetes Prevalence: AnEconometric Analysis of RepeatedCross-Sectional Data.”

The journal: PLOS ONE, a non-profit, peer-reviewed, open-access

By Dayna Harpster dharpster@news-press.com

BITTERTHE

ABOUT THE

Added sugar takes up bigger chunk of what we eat

PHOTO

ILLUSTRATION

BY GEORGE BROOKS/THE

NEWS-PRESS; THINKSTOCK IMAGESSee SUGAR » D9

CURES FOR CRAVERSDietitian Michele Silano, incomingpresident of the Southwest FloridaDietetic Association, hears thesugar blues often from her clients.The most vocal comprise twochoirs: people in recovery fromalcohol and drug addiction, who“crave sugar like there’s no tomor-row,” and those recovering fromeating disorders, who often knowall about sugar and “avoid it likethe plague.”In eating no sugar, clients tend torule out entire food groups, Silanosaid, which leaves them nutrition-ally deficient. The first line ofdefense against sugar cravings is abalanced diet, she said. “Whenyou start getting in your essentialvitamins and minerals you reducethe craving.”Then you can take note of whatyour body is really missing, nutri-tionally. And that depends on thenature of your craving.» If it’s chocolate you MUST have,your system is crying for:Magne-sium: Find that in nuts, legumes,seeds and fruit.» If it’s any kind of sugar you’dbreak your personal moral codefor, your system wants: Chromi-um: In broccoli, grapes, cheeseand chicken. Carbon: In freshfruits. Phosphorus: From chicken,beef, fish, eggs, dairy, nuts, le-gumes and grain. Sulfur: Cranber-ries, cauliflower, broccoli andcabbage. Trytophan: Cheese(harder types are better and al-ways unprocessed), sweet potatoesand spinach.

— From the Dietary Guides for Americans,U.S. Department of Health and HumanServices

* THE NEWS-PRESS » TUESDAY, MAY 14, 2013 » SECTION D

News-press.com/health for morehealth and fitness news.

CELEBRATING SOUTHWEST FLORIDA’S ACTIVE LIFESTYLES

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NEWS-PRESS.COM/HEALTHRead Dr.Sal’s DailyDose healthtip

The challenge after the challengeMany of us have been involved in fitness challenges, diet programs or

other health improvement programs that have a finite period. Whatcomes next is the challenge after the challenge: How to maintain thegains and not revert to our old ways and our old weight.

The solution is to ensure that we make these new behaviors part ofour daily habits. As an example, when you put 30 minutes of exerciseinto your daily calendar, you continue to get it done. When you make adefined list of healthy foods to buy before you go to the supermarket,you maintain the gains and continue to live a healthy lifestyle. The chal-lenge after the challenge is to continue to see good health as your dailypriority and to devote as much time and effort as you need to stayhealthy.

A healthy lifestyle does not have an end date. You must live this lifeeach and every day and you must not take good health for granted. Bewell my friends and stay healthy!

VIDEO SPOTLIGHT

GETTY IMAGES

DO YOUWANT FRIESWITH THAT?

How about apple slices?Healthier options at McDon-

ald’s are in the spotlight as videoreporter Dayna Harpster tags

along with Southwest Flori-da dietitians on a be-hind-the-counter tourof the new restaurantin south Fort Myers.Visit news-press.com/health

SWEET

Breast cancer is a complex disease withboth genetic predisposition and environ-mental factors. There are definitely riskreduction behaviors women can adopt.Exercising daily, eating an anti-inflamma-tory diet rich in cruciferous vegetables,and adequate sleep definitely help.

Try eating hormone-free organic meat

QUESTION OF THEWEEK

Q: Is there anything I can do todecrease my risk of breast cancer?

Heather Auld,M.D.See RISK » D9

“Think and Grow Rich” by NapoleonHill, first published in 1937, was oneof the most successful books of the

20th century. At the time Hill died, in 1970, ithad sold more than 20 million copies.

Hill espoused a philosophy, “What themind of man can conceive and believeit can achieve.”

Other books with a similar messagein that era include “The Power of Posi-

FITNESS BEYOND 50

The power of positive questioning

Harry H. Gaines

See POSITIVE » D2

The News-Press 05/14/2013 Page : D09

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* THE NEWS-PRESS » TUESDAY, MAY 14, 2013 » D9

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online publication. See itat plosone.org.

More from theman:MIT- and Cornell-educat-ed Lustig is the author of“Fat Chance: Beating theOdds Against Sugar,Processed Food, Obesity,and Disease.” He deliv-ered a lecture in May2009 on “Sugar: The Bit-ter Truth,” which wentviral on YouTube and hasbeen viewed 3.5 milliontimes.

The kernel: Lustigbelieves sugar to be dia-bolical, metabolically,calling it “poison” andcomparing it to ethanol inits effects on the body.

The study nugget:For every additional 150calories of sugar (theamount that’s in a 12-

ounce can of soda) avail-able per person per day,the rate of diabetes in thepopulation rose 1 per-cent. They compared thatwith an additional 150calories from any type offood, which caused only a0.1 percent increase inthe population’s diabetesrate over the past dec-

ade.The

problemdates to the1970s, saidRowe Hud-son, direc-tor of LeeMemorialHealthSystem’s

Lee Health Solutions,which helps people man-age chronic disease, likediabetes.

That’s when food pro-cessors began to use highfructose corn syrup inearnest, and the public

fell in love. Sugar ap-peared in processedfoods, in places neverfound before, like bread,biscuits, canned vegeta-bles, tomato sauce, yo-gurt, salad dressing,lunch meats and manyother store items. Highfructose corn syrup isinexpensive and it addscolor and flavor.

At a price: Fatty liverdisease, obesity, predia-betes (sometimes definedas fasting blood glucoseover 100 but less than126), metabolic syn-drome, even depression.

“Since the early ’80swe’ve been taking in lessfat but more carbohy-drates,” said Hudson, andoften that means lotsmore high fructose cornsyrup. A fascination withlow-fat diets for weightloss didn’t help becausemanufacturers simplyadded more sugar tomany offerings.

“I believe that somecommercial food compa-nies use added sugars tocreate food that is hyper-palatable which makes it

hard forsome peo-ple to re-sist,” saidFort MyersdietitianJanet Cal-derwood.Also, “Inthe last 20years, many

of the serving sizes offoods and beverageshave increased. Largersizes have contributed toan increase in sugarconsumption,” she said.

So what to do?“Chances are, if it’s in abox, bag or can, it hasadditives in it,” Hudsonsaid.

» Read labels, eatmore fresh foods and bewary of the sugar-sweet-ened beverages.

»Drink more un-sweetened beveragesand limit the quantity ofbaked goods, suggestedCalderwood. “And for theparents (and grandpar-ents), remember thatchildren acquire theireating habits from themso including plenty ofnutrient-rich foods likefruits, vegetables, wholegrains, low-fat dairyfoods and lean meats —all important componentsof a healthy diet.”

Continued from D1

Sugar

HOWMUCHIS TOOMUCH» The American Heart Associ-ation recommends that add-ed sugar constitute 100 calo-ries or fewer of a woman’sdaily intake. That’s about 6teaspoons. Men should eatno more than 9 teaspoons, orabout 150 calories of addedsugar daily. Compare thatwith the average 22 tea-spoons experts have estimat-ed as a current average forboth men and women.

NAME THAT SUGARSweet teeth aside, it’s alsodifficult to reduce sugar inthe diet because it has somany other names. Amongthem: barley malt, beet sugar,brown sugar, buttered syrup,cane-juice crystals, canesugar, caramel, carob syrup,corn syrup, corn syrup solids,date sugar, dextran, dextrose,diatase, diastatic malt, ethylmaltol, fructose, fruit juice,fruit juice concentrate, glu-cose, glucose solids, goldensugar, golden syrup, grapesugar, high-fructose cornsyrup, honey, invert sugar,lactose, malt syrup, malto-dextrin, maltose, mannitol,molasses, raw sugar, refiner’ssyrup, sorbitol, sorghumsyrup, sucrose, sugar, turbina-do, yellow sugar

— From the Dietary Guides forAmericans, U.S. Department ofHealth and Human Services

Hudson

Calderwood

and dairy products. Re-duce your consumptionof animal fat. Use stain-less steel or glass con-tainers to store food.Never microwave inplastic containers.

Decreasing your life-time exposure to harmfulsubstances may decreaseyour breast cancer riskas much as 30 percent.Be proactive.

—Dr. Heather Auld, fellow at theUniversity of Arizona Departmentof Integrative Medicine is anobstetrician/gynecologist withPhysicians’ Primary Care of South-west Florida in the Park Royaloffice, 9021 Park Royal Drive, FortMyers. Call 432-5858.

Continued from D1

Risk