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Re:Type 2 Diabetes and cardiovascular disease attributable t... by neom on Tuesday January 07, 2025 @03:40PM (#42627177)
Interesting. I think folks in the comments here maybe missed this paper is way more about the beverages part making it important. The research is around sugar sweetened beverages (SSBs). If I'm reading it right, the SSBs have a differentmetabolic effect.

"Due to their liquid form, SSBs are rapidly consumed and digested, resulting in lower satiety, higher caloric intake and weight gain. High doses of rapidly digested glucose also activate insulin and other regulatory pathways, which can result in visceral fat production, hepatic and skeletal muscle insulin resistance and weight gain. High doses of rapidly digested fructose directly activate hepatic fat synthesis, leading to ectopic fat deposition and metabolic dysfunction in liver and muscle"

Unfortunately I can't find where they define high dose, but if you look at what they say is high elsewhere, it seems to be around 9 servings a week of "any beverage with added sugars and >50 kcal per 8 oz serving, including commercial or homemade beverages, soft drinks, energy drinks, fruit drinks, punch, lemonade and aguas frescas." - A can of coke is 12oz I believe?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by athenot on Tuesday January 07, 2025 @04:16PM (#42627597)
About 15 years ago, I stopped drinking soda. Not out of a desire to be healthy or loose weight but simply because it dawned on me that for the same amount of sugar in one soft drink that I drink without any afterthought, I could enjoy a really good pastry that I can slowly savor.

I do the same for fats. The way I look at it, I want to maximize the "enjoyment per kcalorie". :)

More recently, I'm starting to apply this to meat as well. I really enjoy meat, but I'm not one for quantity since I'm on the skinnier side. So I'm trying to enjoy meat more, and in doing so, get better quality, prepare it better, etc. while at the same time eating less of it. This is still a work in progress, and eating in restaurants can be challenging as they usually favor quantity over quality—except for the very high-end & costly places.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by jillesvangurp on Tuesday January 07, 2025 @06:02PM (#42628763)
Good for you.

I think for meat especially, there's a difference between the stuff people talk about (like premium steaks they almost never eat) and the reality of what ends up on their plates which is a lot less glamorous.

A typical fast food burger just isn't that great in terms of texture, taste, looks, etc. and IMHO almost always disappointingly unsatisfying and slightly uncomfortable afterwards. I'll eat that once in a while; usually because there's nothing more convenient and never because I crave one. For me the cheap and nasty stuff is easy to skip on a daily basis and it's not like I eat the expensive premium stuff that often anyway. I love a good steak, but I don't splurge on paying 3x the other items on the menu when I'm at a restaurant typically. Which is what it takes typically to get a nice premium cut of meat.

I do enjoy cooking with meat but I'll make an effort to make the most of it. E.g. I made a nice beef stew over the weekend. That's a bit of of work and a humble/affordable cut of meat. And very tasty.

If you like Indian food, try having or making a dal. As it turns out, Indians know a thing or two about making very tasty vegan food from cheap/simple ingredients. And this can as nice as some chicken curry with a few chunks of cheap chicken that is maybe a bit overcooked and dry (I've been served that in many Indian restaurants). Those curries actually still taste fine if you don't eat those chunks of meat. And the whole point of heavy spicing in countries with warm climates like India was historically to mask the flavor of cheap cuts of meat that were maybe a bit past their prime. Which is possibly also a reason why vegan food is popular in India. Fridges are a fairly recent novelty too.

And the meat doesn't even add a lot of flavor; they just add it last minute typically. Lots of Indian restaurants usually have vegan or vegetarian versions of most of their curries where they toss in some tofu or paneer instead of meat. The only difference between eating meat or vegan in such places is literally what protein is added to the dish at the last minute. The rest is basically vegan or vegetarian by default.

Anyway, I skip sugary drinks mostly. And I've cut down on my alcohol intake as well. Most of what I drink has basically very little or no calories.

Most of my remaining food challenges are unhealthy snacks, unnecessary carbs and the temptations of unhealthy restaurant food, or late night shopping in super markets and the associated bad decision making.

Restaurants bulk out their dishes with carbs and they make things taste good by adding salt and fats. It's hard to eat healthy in restaurants. So, I try to limit my restaurant food intake. And like with meat, most of the restaurants people visit aren't actually that great anyway. At least where I work, Michelin stars are not a thing for the typical lunch options. Quite the opposite actually. I'm only an OK cook but I can cook tastier/better versions of a lot of the shit I get served in places like that. It's not that hard.

I recently actually started just skipping lunch entirely at work mainly for this reason and I'm training myself out of having a Pavlovian craving for food just because the clock says so. I don't actually need the calories. Or the post lunch dip in productivity. I especially don't need the lousy food choices imposed by that one person that wants to go to the burger place. There's a lot of group thinking inspiring unhealthy choices around lunch time. I took part in that for years. It's stupid when you think about it and I've suffered the health consequences as well. There's a cumulative effect if you do that for a few decades.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by throwup238 on Tuesday January 07, 2025 @06:24PM (#42628977)
> Restaurants bulk out their dishes with carbs and they make things taste good by adding salt and fats.

Anthony Bourdain wrote in Kitchen Confidential: “If you eat at any good restaurant, assume you've eaten a stick of butter.”

Re:Type 2 Diabetes and cardiovascular disease attributable t... by aziaziazi on Wednesday January 08, 2025 @02:08AM (#42631825)
My brother worked for multiple (very) good restaurants here in France. I’m always super chocked when I see him throwing a good portion of the butter brick in almost any meal. His dishes are super delicious. His current restaurant is a a very good vegan one and he does the same with plant butter.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by bitwize on Tuesday January 07, 2025 @08:32PM (#42629930)
> A typical fast food burger just isn't that great in terms of texture, taste, looks, etc. and IMHO almost always disappointingly unsatisfying and slightly uncomfortable afterwards. I'll eat that once in a while; usually because there's nothing more convenient and never because I crave one.

The "Big Mac Attack" is real. I used to get one about every six months or so. Then I would eat a Big Mac, and the attack would be sated, but the GI discomfort reminded me of why I don't get Big Mac Attacks more often.

These days I just avoid fast food. I live in a part of the country that's actually rather persnickety about good food, and there are much fresher options available nearby that are rather cheap. Plus I'm stocked up on low-carb soups, lunch meats, and other yummies most of the time now.

> And the whole point of heavy spicing in countries with warm climates like India was historically to mask the flavor of cheap cuts of meat that were maybe a bit past their prime.

My dad used to tell me stories about roadside chili houses in Texas. They kept a big pot of chili constantly going, and added whatever meat they could find, together with beans, spices, etc. to keep the pot full as the chili was served to customers. Roadkill was, supposedly, one of the most convenient sources of meat for the pot.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by somenameforme on Tuesday January 07, 2025 @11:17PM (#42630855)
The weirdest thing for me is that when I was young I used to live off fast food. A few Jack in the Box burgers and I was good to go (my girlfriend at the time looked at me somewhat strange the first time I asked her how many burgers she wanted). But now when I eat a fast food burger I just don't feel very good afterwards. Curious how many others also seem to get the same thing. I always thought I was just being a bit more snobby than when I was younger and it was some sort of psychosomatic thing.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by bitwize on Tuesday January 07, 2025 @11:59PM (#42631099)
Part of it is age. Part of it is, I think, the fast food companies are lowballing what they can get away with serving in order to keep costs down. It's said that some Diné (Navajo) refer to Burger King with a word that means "just enough food to get strength from". I think that's the fast food joints' specialty: compromise the food till it's barely enough to tolerate and derive nourishment (calories) from to sell the stuff cheap and quick to a ravenous but indiscriminate clientele. With the passage of time comes more efficient ways to produce less delicious or satisfying food, so BK today is not as good as BK 30-40 years ago (which in turn is less good than BK shortly after its founding). Some burger joints e.g. Whataburger can differentiate themselves with higher quality, but they don't achieve the volume of McD's, Burger King, Wendy's, etc.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by oneshtein on Wednesday January 08, 2025 @05:16AM (#42632745)
Back then, fast food compete with home made food, now it competes with another fast food.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by LordAtlas on Wednesday January 08, 2025 @03:17AM (#42632172)
Man, as an Indian, this is hard to read. You're spreading a lot of misinformation about Indian food.

> Which is possibly also a reason why vegan food is popular in India.

First, while there are a lot of tasty Indian vegetarian dishes, vegan food is decidedly not a cultural thing. We use butter and ghee pretty commonly in food: definitely not vegan. India is the world's largest milk producer; also not vegan. That dal you refer to will often have a "tadka" of ghee and spices on top. The "dal makhani" - another popular restaurant dish - literally means "buttered dal".

And the reason pre-cooked meat pieces are added to curries in restaurants is that we need to get the food to you in 5-7 minutes. We can't cook it leisurely for 25-30 minutes in the gravy like we would do at home. It's called "mise en place" in the restaurant business.

> Lots of Indian restaurants usually have vegan or vegetarian versions of most of their curries where they toss in some tofu or paneer instead of meat.

If it's India, you're talking about, you're unlikely to find tofu being used in a restaurant. Paneer is made from milk, so...not vegan. Maybe restaurants abroad do it differently.

> And the whole point of heavy spicing in countries with warm climates like India was historically to mask the flavor of cheap cuts of meat that were maybe a bit past their prime. Which is possibly also a reason why vegan food is popular in India.

OK, this annoying canard is the worst. [1] Spices and meat used to be both historically expensive. A bit of research will tell you that. You know, that whole "spice trade" thing. Malaysian, Singaporean, Sri Lankan, food also use spices and they're not vegetarian cultures at all. (For that matter, only some 30% of Indians are vegetarians, despite the stereotype, but that's a discussion for another day.)

TL;DR India has lots of good vegetarian food, but hardly any of us are vegans.

[1] https://en.wikipedia.org/wiki/Spice#Preservative_claim

Re:Type 2 Diabetes and cardiovascular disease attributable t... by aziaziazi on Wednesday January 08, 2025 @04:24AM (#42632456)
Hi, thanks for this cultural sharing. I don't understand something about Indian culture -probably because of prejudices- and would be glad to know more. Hindus in India venerate (or respect?) cows such a way they let them live in free roaming. Also they eat a lot of ghee and milk derivatives. Where does those milk comes from ?

A. Is it ok to eat a cow if someone else raise the cow?

B. Is it ok to eat milk raised by someone else

C. Is it ok to 'milk' a stray cows while they looks skinny?

D. How do they regards the calves needed once in a while for milk production?

E. Does Hindus only eat chicken (and so) but no milk while muslims eat everything?

F. Where goes the dead free roaming cows cadavers? Is there enough vultures?

Note I'm not trying to find logical incoherencies or logical fallacies, I'm very aware there's many think that can been seen as inconsistant or very consistent depending on your knowledge on a subject - which is never 100% reachable.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by ttepasse on Wednesday January 08, 2025 @04:53AM (#42632600)
> And the reason pre-cooked meat pieces are added to curries in restaurants is that we need to get the food to you in 5-7 minutes. We can't cook it leisurely for 25-30 minutes in the gravy like we would do at home. It's called "mise en place" in the restaurant business.

Some years ago I fell into a Youtube rabbit hole of British Indian Restaurants. (Actually most seemed Bangladeshi) In Britian Indian cuisine has a far more "takeout" status. Hence BI restaurants started to deconstruct popular dishes into components which can be prepared in advance and combined into different dishes. It may not be original but I found the process of adaptation rather fascinating.

(Here in Germany it seems rather worse. Also takeout status, but I suspect a lot of takeout orders are simply microwaved stuff.)

Re:Type 2 Diabetes and cardiovascular disease attributable t... by jillesvangurp on Wednesday January 08, 2025 @09:20AM (#42634508)
I'm actually well aware of this and didn't mean to offend people. And 30% is actually quite a large percentage.

I actually make ghee myself sometimes from butter (easy and a lot cheaper than buying it from the super market).

A lot of (british) indian restaurants use cooking oil instead and I'm well aware that that's not the same as what people in India would consider Indian food and that something like a Tikka Massala is not actually a thing you'd find in a proper restaurant in India; which is a country I've never been to and would love to go to to experience the food.

But anyway, a lot of these restaurants use cooking oil because it's cheaper and because it makes everything they cook with that vegan by default. Which at least in places with a lot of vegans is a nice feature.

Here in Berlin, finding decent Indian food is a bit of a challenge in any case. Germans are hopeless with spicy food. And I know only a few Indian places that add more than homeopathic amounts of chili. Most of the Indian restaurants in the more touristy spots are owned by one family and those aren't great. I've gotten some tips from Indian colleagues over the years for better options.

Anyway a lot of dals indeed don't use a lot of spices or flavoring. And that's just sidestepping all the different regions and food styles. Which are a thing as well of course.

As for Malaysian/Indonesian style cuisine; I'm Dutch and got exposed to a lot of the Dutch Indonesian food which, similar to British Indian food is not really that authentic. Lots of meat in there indeed. And quite spicy.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by pessimizer on Tuesday January 07, 2025 @06:08PM (#42628825)
> About 15 years ago, I stopped drinking soda. Not out of a desire to be healthy or loose weight[...]

Same thing happened to me at probably around the same time. I realized I could just have a lollypop, and it would be a tenth of the sugar. Most of the sweetness in soda doesn't even get a chance to touch your tongue before it's going down your throat. If I want candy, I should just have a piece of candy. If I'm thirsty, I should have a glass of water.

Also, the carbonation in soda enables them to get twice the sugar into it. Drinking a flat soda is like drinking maple syrup.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by chrisco255 on Tuesday January 07, 2025 @07:37PM (#42629553)
It's probably a risky line of thinking, if you're addicted to sugar, to substitute in some other source of sugar. Best to avoid pastries, lollipops and sugary sodas.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by Supermancho on Tuesday January 07, 2025 @08:20PM (#42629852)
It's a risky way of thinking to reduce every act to a moral choice. ie I could have used the energy that I burned making this post, to hand out a dollar to a homeless person.

Beyond how ridiculously reductive this becomes, it's impractical. You have to have carbs for your brain to run.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by knowitnone on Tuesday January 07, 2025 @08:32PM (#42629933)
no you don't. You have to have glucose for your brain to run. Understand the difference.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by majkinetor on Wednesday January 08, 2025 @06:38AM (#42633165)
u dont have to input it as body makes enough
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Tuesday January 07, 2025 @08:32PM (#42629932)
I agree with almost everything you say. However:

> Beyond how ridiculously reductive this becomes, it's impractical. You have to have carbs for your brain to run.

No. People live on no-carb diets just fine and enter ketosis. (And in any case, the comment you replied to only talked about sugar, not carbs in general.)

Re:Type 2 Diabetes and cardiovascular disease attributable t... by vixen99 on Wednesday January 08, 2025 @03:41AM (#42632302)
Not just any no/low carb diet:

'A low-carbohydrate diet based on animal sources was associated with higher all-cause mortality in both men and women, whereas a vegetable-based low-carbohydrate diet was associated with lower all-cause and cardiovascular disease mortality rates.'

https://pmc.ncbi.nlm.nih.gov/articles/PMC2989112/

It is of course rather difficult if not impossible, to have a vegetable diet completely devoid of carbohydrates.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Wednesday January 08, 2025 @04:21AM (#42632439)
The number of people in this study is surprisingly large!

Alas, it doesn't have much bearing on the part of the comment I wanted to focus on 'You have to have carbs for your brain to run.' Because the diets in question here still have some carbs. (And the changes in mortality rates are fairly modest, too.)

What I wanted to say is that even if you eat no carbs at all, you brain will still get its energy. You won't just keel over after a while, like if you didn't eat anything at all henceforth.

Of course, there might be second order health effects, like the study you linked suggest.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by aziaziazi on Wednesday January 08, 2025 @02:02AM (#42631777)
I agree with peers. Doesn’t Keto (for part of the year) worked for millennia for our ancestors?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by addicted on Wednesday January 08, 2025 @03:17AM (#42632168)
Most of our ancestors lived a fraction of the lifespans we do.

So any argument based on “it worked for our ancestors” is flawed.

“It worked for our ancestors” could be the beginning of an idea for research, but certainly does not take you much further than that.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by aziaziazi on Wednesday January 08, 2025 @03:40AM (#42632292)
I agree with all you said but I also guess our ancestors mostly die from infection, hypothermia, viruses… certainly not from brain stop working because carbs amnesia.

"You have to have carbs for your brain to run" doesn’t make sense. You have to have sugar in your brain to run, but that sugar surely can comes from fat as well.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Wednesday January 08, 2025 @04:23AM (#42632449)
Some of our ancestors might have done keto some times, but I'm not sure most of them did most of the time? Humans are decidedly omnivorous, and most of them would eat whatever they could get their hands on, including plants and mushrooms (and sometimes honey!) etc.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by stefs on Wednesday January 08, 2025 @07:39AM (#42633549)
iirc the inuit had a diet mostly consisting of meat and fish, but - according to wikipedia - not even they were usually in ketosis.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by Supermancho on Wednesday January 08, 2025 @10:26AM (#42635178)
They also had carbohydrates in their diet. Meat naturally contains carbs. Pretending that the human body is misunderstood and that it worked very differently is a common pitfall of these discussions. Largely it was the same, with the amounts differing.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by hollerith on Wednesday January 08, 2025 @02:22PM (#42637512)
Meat contains only insignificant amounts of carbs. The human body can convert protein to carbs (glucose specifically) but the rate at which it can do it is limited, and my guess is that if it can't burn glucose, a metabolically-healthy body will burn fat (rather than glucose made from protein) until the diet has been quite deficient in calories for at least 3 days.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by peaceanwar on Wednesday January 08, 2025 @02:05AM (#42631801)
No. You dont.

There are other metabolic pathways to produce glucose (or produce ketones). The other pathways ‘push’ the body more since they have to do some conversion. This ‘extra effort’ is considered to be more healthy.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Supermancho on Wednesday January 08, 2025 @10:30AM (#42635220)
Yes there are. You still need carbs and you get them (ie celery has carbs), regardless. Repetition wont convince someone arguing in bad faith, so I will bow to your religious beliefs.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by scrollop on Wednesday January 08, 2025 @02:17PM (#42637478)
Yes you need to have carbs, however the quality of the carbohydrate is the most important factor.

If you have any sense for your health you will not have regular intake of sugar, white bread, potatoes crisps, rice cakes, any thing with a high GI.

Some carbohydrates reduce your risk of diabetes, and if you're smart you follow the evidence and you eat these-

https://youtu.be/DNQrNWsoPEE?si=GORRP5IblhNkKCdF

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hollerith on Wednesday January 08, 2025 @02:24PM (#42637532)
>You have to have carbs for your brain to run.

The brain can run well on ketone bodies (which the liver makes from fatty acids). In fact, causing the brain to run on ketone bodies is used by doctors to treat illness (and not just epilepsy).

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brippalcharrid on Wednesday January 08, 2025 @08:08PM (#42640445)
The human brain can run on up to 70% ketones overall (this is not only safe, but it appears to have additional therapeutic benefits) and your body can synthesize glucose in your liver and kidneys from fats and proteins though gluconeogenesis to supply the remaining parts of your brain that can't metabolize betahydroxybutyrate, acetoacetate and acetone.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by tunapizza on Tuesday January 07, 2025 @09:42PM (#42630324)
Why are people downvoting this?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by BeetleB on Wednesday January 08, 2025 @01:08AM (#42631490)
Because they strongly disagree.

If I have soda cravings, I can take a single Tic Tac. It doesn't satisfy my soda cravings, but crucially, it prevents the soda itself from satisfying those same cravings if I do subsequently drink it.

Usually I crave soda after a high salt/fried food. Giving myself a tiny amount of sugar (Tic Tac has 0.5g) removes the salt/fried taste, and I just can't get the good soda effect I know I would have gotten without the Tic Tac. There just isn't a point for me to take soda after a Tic Tac.

So yes, substituting a small amount of sugar for a large one can be very effective.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by BeetleB on Tuesday January 07, 2025 @06:17PM (#42628918)
I drink 250 ml soda cans/bottles. 25-28g of sugar.

Be aware that a lot of candy has similar amounts of sugar. M&M packets have even more.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by malfist on Tuesday January 07, 2025 @07:10PM (#42629339)
The typical soda in the US is either 12oz (can) or 20oz (bottle).

A 12oz coke has 39g of sugar. A 20oz bottle of coke is 65g.

Coke isn't close to the worst offender and this ignores soda at restaurants when 28oz is often the smallest you can buy

Re:Type 2 Diabetes and cardiovascular disease attributable t... by BeetleB on Tuesday January 07, 2025 @07:59PM (#42629710)
> The typical soda in the US is either 12oz (can) or 20oz (bottle).

True but you can get 250ml cans in most grocery stores.

Also, there are plenty of places I shop at where the smallest Hershey's bar or M&M packet is the King/share size one. The M&M one has 57g of sugar.

Difficulty in buying smaller portions is not unique to soda.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hgomersall on Wednesday January 08, 2025 @03:32AM (#42632249)
If I go to a restaurant with fill your own drinks (rare in the UK), I generally get soda water with about 10% coke. It's remarkable how much it tastes (to me) just like coke, albeit palatably sweet. I always thought the sugar tax should be a sweetness tax to change people's perceptions.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by lhoff on Wednesday January 08, 2025 @03:38AM (#42632279)
I also do this, usually with sprite or fanta and I think its more refreshing this way
Re:Type 2 Diabetes and cardiovascular disease attributable t... by ChrisMarshallNY on Tuesday January 07, 2025 @08:42PM (#42629994)
When I stopped drinking soda (about ten years ago), my stomach immediately started feeling better.

I will sometimes have a ginger ale, from time to time, when I'm eating out, and usually won't finish it, but I otherwise, don't drink soda, anymore.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hattmall on Tuesday January 07, 2025 @11:09PM (#42630813)
In most cases you could eat multiple pastries and still have significantly less sugar than a soda.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by parineum on Wednesday January 08, 2025 @12:26AM (#42631237)
pastries also have fat though and parent was talking about enjoyment per kcal.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by cluckindan on Wednesday January 08, 2025 @05:42AM (#42632856)
Fat is good for you, as long as it isn’t trans-fat. The common wisdom around cholesterol is false (the ”lipid hypothesis” is just that, a hypothesis).
Re:Type 2 Diabetes and cardiovascular disease attributable t... by parineum on Wednesday January 08, 2025 @10:30AM (#42635226)
Excess calories are bad for you, no matter what form they come in.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by cluckindan on Tuesday January 14, 2025 @12:13PM (#42700263)
Very true. However, consuming oils and fats make one more quickly satiated compared to sugars and other carbohydrates, leading to less overall consumption of calories.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eitally on Wednesday January 08, 2025 @02:02AM (#42631771)
This depends if you consider all carbohydrates to be sugar or not. At the end of the day, the refined flours in the pastry are also sugar-equivalent.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by trhway on Wednesday January 08, 2025 @05:05AM (#42632681)
>In most cases you could eat multiple pastries and still have significantly less sugar than a soda.

yep. The can of soda has something like 10 spoons of sugar. In that volume i stop feeling the difference after 2nd-3rd spoon of sugar. I do drink soda - by diluting it about 1:5. For the pastries and other bakery products - it does depends where it comes from. The standard American bakery sill puts a lot of sugar into pastries, cakes, bread (especially the fast-rise), etc. while some of the ones trying to do European style do use sugar more moderately (they also usually use more fat like butter thus making the taste better, more balanced, and probably also thus more healthy - my personal impression/opinion - as the more balanced content (fat/carbs vs. low-fat-high-sugar approach somehow more popular in the American bakery) seems to me to be better).

Re:Type 2 Diabetes and cardiovascular disease attributable t... by zamadatix on Wednesday January 08, 2025 @12:07AM (#42631138)
Not that no sugar variants of soda are exactly a shining health food staple or better than going to healthy drinks lik water but...

For me I was absolutely shocked at how a soda being sugar free didn't have to imply it was like drinking horse piss. I had tried Diet Coke a few times and assumed that was what you had to deal with if you went sugar free. One day someone gave me a Coke Zero and it was actually not bad, even if not quite being as good as Coke. This led me to try some others like Dr Pepper Zero Sugar for which I thought "what the hell, this tastes better than Dr Pepper???".

Obviously which are better will vary by person and most people will, overall, like sodas with actual sugar more often but if everyone tried a few different options they might be surprised how little they'd have to trade down on the soda for, if anything, to drastically drop their sugar intake.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by nprateem on Wednesday January 08, 2025 @12:10AM (#42631153)
Aspartame is bad for your gut microbiome
Re:Type 2 Diabetes and cardiovascular disease attributable t... by parineum on Wednesday January 08, 2025 @12:24AM (#42631228)
Source
Re:Type 2 Diabetes and cardiovascular disease attributable t... by mohaine on Wednesday January 08, 2025 @12:27AM (#42631239)
Citation?

Is this a normal soda consumption levels in humans or when feeding it to rats at some obscene rate?

I'm not saying it is good for you, but we need facts not blind statements with no context.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by aziaziazi on Wednesday January 08, 2025 @01:57AM (#42631743)
I’m not an expert but a quick search leads me to:

> We identify NAS-altered microbial metabolic pathways that are linked to host susceptibility to metabolic disease, and demonstrate similar NAS-induced dysbiosis and glucose intolerance in healthy human subjects. Collectively, our results link NAS consumption, dysbiosis and metabolic abnormalities, thereby calling for a reassessment of massive NAS usage

I’d be glad to see the full paper

https://pubmed.ncbi.nlm.nih.gov/25231862/

> normal soda consumption levels in humans

I note that "normal" here should be read as "common during the last 50years (or less)", where the last 50ears is quite reductive in human dietary habits.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Laforet on Wednesday January 08, 2025 @02:46AM (#42632010)
This paper you linked does not even involve aspartame. The only sweetener they experimented with is saccharin. You can check out the main figures from the link below:

https://www.researchgate.net/publication/265791239_Artificia...

I would be very reluctant to read too deep into this given saccharin is known to behave very differently in animal models - for a long time it was thought to cause bladder cancer, but follow up studies proved that it’s an idiosyncratic reaction only found in female lab rats and no other gender/species combination. Not to mention the dose used was unrealistic to begin with.

It’s entirely plausible that sugar analogs like sucralose and non-calorific sugar alcohols such as erythritol and maltitol can cause long term changes in the gut biome but high quality evidence is still lacking.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by nprateem on Wednesday January 08, 2025 @12:04PM (#42636197)
Christ I'm not your mother. Search pubmed.

Research suggests a link to cancer. It'd be bad for your microbiome if you die.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by johnyzee on Wednesday January 08, 2025 @07:10AM (#42633350)
>I do the same for fats. The way I look at it, I want to maximize the "enjoyment per kcalorie". :)

We are increasingly moving away from looking at fat as an indulgence, towards understanding it as an essential nutrient, with a large variance in fat types and their benefits. E.g. some people would avoid eating nuts, because they are high in fat, and not as tasty as something similarly fatty, like a pastry. This seems wrong both intuitively, but also from empirical findings about the impact of certain omega-3 fatty acids (such as in nuts) versus that of, say, omega-6 fats, which are way overrepresented in our diets due to being so cheap.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by rroblak on Wednesday January 08, 2025 @10:31AM (#42635239)
This. People are getting the message that "sugar is bad" but the public health messaging of "fat is bad" still lingers in many people's heads. It's sad, because as you mentioned some days are indeed essential nutrients. Especially for kids and pregnant women.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by mlyle on Wednesday January 08, 2025 @01:04PM (#42636773)
I mean, the "fat is bad" thing isn't completely wrong: it is definitely possible to overdo it. It's extremely calorically dense, and most fats are bad for us in other ways.

But society didn't replace some of the fat with increased intake of vegetables and lean meats.

Food manufacturers compensated for less fat with more sugars and salt, which we've been finding are even worse.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hilbert42 on Wednesday January 08, 2025 @02:49PM (#42637782)
"People are getting the message that "sugar is bad" but the public health messaging of "fat is bad" still lingers in many people's heads."

If this is true then what the hell is going on? We knew this about sugar with certainly at absolute minimum a half century ago when I was a kid (I know as I remember the message).

The message—even as told at school—was that 'excessive and repeated amounts of sugar (especially the refined type as in drinks and sweets) causes diabetes'. QED!

So what the fuck has happened, how was this once well-established message erased from the collective consciousness of more recent generations?

The message back then was so all pervasive that everybody knew it.

So many important facts have been lost to recent generations that I'm beginning to think education is going backwards fast. What happened to health lectures in primary school where we were told these facts?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by mlyle on Wednesday January 08, 2025 @02:58PM (#42637854)
We only really recently have evidence for sugar, on its own, causing diabetes.

We had a lot of evidence for sugar causing weight gain. And higher weight is strongly correlated with type II diabetes. But from a public health standpoint, we were worried about fats. We realized that many fats caused health problems even without weight gain and also viewed fats as having a more primary role in weight gain.

It's only recently (in the last couple of decades) that we've gotten evidence that sugar on its own can increase the risk of type 2 diabetes--even if you are of normal weight.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hilbert42 on Friday January 10, 2025 @05:11AM (#42654343)
"We only really recently have evidence for sugar, on its own, causing diabetes."

OK. But first let me say most of what follows about health I learned in the 1960s, back then it was common knowledge and discussed in schools, newspaper reports and on radio talk shows, etc. As I was reasonably healthy I wasn't given any special advice or instructions so the info I received was essentially the same as everybody else.

The big questions are how strong or irrefutable does evidence have to be before we act on it or take it seriously, and what disruptive factors interfere with our considerarion of said evidence. It's probably best to illustrate this with a couple of examples from when I was at school. Around that time carbon tetrachloride/CCl4 was commonly used in dry cleaning shops and one could wiff it as one passed by. It was also the time when health worries about using CCl4 for cleaning became a prominent issue and phasing it out for safer alternatives started.

In highschool chemistry we were instructed that CCl4 was toxic and to avoid getting it on one's skin and not to breathe its fumes. This led some kids including myself to ask why is it toxic when it's so inert (with four Cl atoms and no hydrogen versus say DCM/CH2Cl2—with its two hydrogens DCM would be more reactive, thus it would seem to be more harmful but whilst still harmful it's less so). The teacher said he wasn't sure why CCl4 was so harmful but went on to say it affects the liver and probably has something to do with upsetting fats as they are very soluble in it, he did not mention it was a likely carcinogen. We accepted that answer.

Then there was the matter of benzene/C6H6, he said it was very toxic and a known carcinogen, and it could be absorbed through the skin and its vapors breathed in. To make matters worse it is often a constituent of other solvents and fuels, gasoline for instance. He stressed repeatedly that we must handle it carefully and take precautions especially so if we were to become chemists as we'd likely have access to it more frequently and in higher concentration than most others. I still recall him holding up a small sealed bottle of it while he spoke about it.

This raised similar questions as to why C6H6 was dangerous whilst many compounds containing benzene rings are either not poisonous or are much less so than benzene (and of course some are even more so).

This is where the teacher was out of is depth and said we're not toxicology experts so we just have to accept the evidence that many of these chemicals are dangerous and especially so benzene. He then went on to state a general safety rule that we should always apply which is to treat all aromatics, petroleum-like chemicals (which back then also contained Pb/TEL) and chlorinated hydrocarbon compounds as toxic, dangerous and flammable. This applies to everyone, not just chemists—painters and industrial workers are also at risk of exposure to many different types of volatile solvents. That and related safety mantra was drummed into us often.

That general rule I've applied ever since and I'm still a living member of this planet despite the fact that I've used many different toxic solvents over the years.

The point of all that is we are often not fully aware of the dangers of these chemicals but there is a 'smoking gun' that manifests out of observation and statistics, that is the harm they've caused to others. Even back in the '60s when the biochemistry of chemicals such as CCl4 and C6H6 was much less well understood than today toxicologists and biochemists considered the causal link between past exposure to them and illness strong enough to warn and where necessary act to minimize harm. Definitive proof wasn't need to act.

Similar but less forceful instructions were applied to smoking. Back then cancer was hardly mentioned (despite evidence from the early '50s of the link) but we were told at school not to smoke because we would likely get lung disease which would shorten our lives. (BTW, I don't smoke.)

And there was a similar message with NaCl. 'Do not use or put too much salt on your food' was a common lecture of the time from both parents and teachers—'you'll get hardened arteries and high blood pressure if you do.' Moreover, this understanding was around long before I was born yet in the 1980s some authorities modified this to say it only applied to a percentage of the population who were susceptible and that most of us didn't have to worry about our salt intake levels. This dangerous message was reversed in the '90s. One wonders how much damage it caused. A question remains about how this wrong and corrupt message took hold in the first instance when the 'facts' as stated were so evidently wrong (so contrary to longstanding evidence).

I'd note it seems not much has changed since the reversal as so much commercially prepared food still contains hugh amounts of salt. Forget health effects for a moment, I find much of this food too salty for my liking and in some instances it's just too salty for me to eat.

On the matter of fat, you're right. By the 1960s fat was a hot ropic mainly because it was linked to heart disease. I recall in our household my father switching to margarine which later turned out to be questionable but the rest of us continued to use butter, albeit sparingly. My mother always discouraged heavy butter usage and spread it thinly. With meat-based soups etc. she'd always let them settle and skim off the fat. Same with fried foods, they'd be patted with paper towels to remove any excess fat (note she was not faddish about the practice because she was concerned about getting fat—she was naturally skinny—but rather because she was following long-held advice). I say that because my mother's concern with fat long predated the 1960s fat scare as my grandmother did exactly the same. Clearly my mother had learned the 'dangers' of fat from her mother so that meme goes back at least a century I'd reckon.

No doubt misleading information from vested commercial interests pressured much of society to act not in its best interests but two things stand out in these debates. The first is why the medical profession, health departments, statisticians, etc. didn't speak out in unison and with more force as it would have saved many lives (and on evidence they still don't do so). Medical statistics alone ought to have been a sufficient smoking gun for governments to act, but they didn't.

Second, education in these matters from a young age by both parents and schools is essential. In my case, one thing stands out which is that we kids were not only told what was bad for us but also we were given clear reasons for why they were so. Logical reasons for why we should act in our best interests are much more effective than some nebulous edict without explanation saying 'don't do it'.

I am still unclear as to exactly why these health messages became so derailed from around the 1970s onwards. It's always been clear to me that health issues surrounding fats and sugar were always separate despite them having many common factors and interactions. So why was such a simple notion so hard to explain to a lay public? (I have my theories but I'll leave them for now.)

With sugar we kids were taught all the usual facts at school: rotting teeth, getting fat and the risk of diabetes, but perhaps what made those facts sink in and last a lifetime was that as the same time we were taught the heroic story of how Charles Best and Frederick Banting separated insulin in 1922 and immediately saved lives. This history was even more poignant to us as one our classmates had type-1 diabetes and it was obvious to all that he wouldn't be alive but for them. Both facts sharpened our minds about the dangers of high sugar intake.

Again, for me it seems something went wrong with the education system, and it was made worse when professionals went off course and changed health messages midstream, they made the disaster worse.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by mlyle on Friday January 10, 2025 @01:43PM (#42658613)
The big issue with public health is that everything is dangerous and people will only comply with so many rules and society will only work towards so many goals.

Public health decided dietary fat was the big problem to focus on, despite imperfect evidence. Three things screwed this all up:

* Dietary fat wasn't nearly as bad as everyone thought, because eating lots of fats was correlated with lots of other negative lifestyle choices. * It looks like dietary sugar was actually worse than the evidence of the time said. * Policymakers didn't understand that an emphasis on reducing fats would cause food chemists and others to add more sugars and salt to food to make it more palatable.

In the end, we need to go where the evidence points. The earlier evidence that was hopelessly confounded was much more clear that fats and salt are universally bad; later evidence painted a much more ambiguous picture. It is so dang hard to measure what actually happens in real populations.

> With sugar we kids were taught all the usual facts at school: rotting teeth, getting fat and the risk of diabetes,

And the last we only have evidence of in the past couple of years, and it's relatively weak evidence.

> but perhaps what made those facts sink in and last a lifetime was that as the same time we were taught the heroic story of how Charles Best and Frederick Banting separated insulin in 1922 and immediately saved lives. This history was even more poignant to us as one our classmates had type-1 diabetes and it was obvious to all that he wouldn't be alive but for them. Both facts sharpened our minds about the dangers of high sugar intake.

Well, sugar intake isn't a risk factor or cause of type 1 diabetes.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hilbert42 on Monday January 13, 2025 @01:32AM (#42680656)
"And the last we only have evidence of in the past couple of years, and it's relatively weak evidence."

Perhaps so, but it turned out to be good advice—I heeded the advice and have always limited my sugar and salt intake. As I said, at what point or how much evidence is need to heed such advice. Leaving it until factually certain could mean it's too late.

"Well, sugar intake isn't a risk factor or cause of type 1 diabetes."

That was known at the time (and to me also—in fact to all of us). The instance further highlighted the sugar/diabetes issue as we kids actually knew someone who had diabetes and who had to inject insulin (even if we didn't have diabetes, we knew we could still develop it and that excessive sugar would likely be the cause).

The thought of having to inject insulin daily focused our minds. That seems obvious doesn't it?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by mlyle on Monday January 13, 2025 @02:13AM (#42680887)
> As I said, at what point or how much evidence is need to heed such advice.

This is like a Pascal's wager. There's a bazillion things we could be doing that there's a little evidence for or a plausible explanation. And we can't do them all, or believe in every God, or whatever.

And even things that we had a lot of evidence for (like dietary fat) turned out to be harmful when given as public health advice.

In the end, things are tricky. Best to do whatever seems like it's reasonably careful to you, and for science to try and figure more of this out and decide the best things to give advice on.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by TheOtherHobbes on Thursday January 09, 2025 @05:37AM (#42643885)
The sugar industry spent a lot of money on PR to shift the blame to fat.

https://www.npr.org/sections/thetwo-way/2016/09/13/493739074...

https://www.theguardian.com/society/2016/apr/07/the-sugar-co...

Also, it's "obvious" (but completely wrong) that if you don't want to be fat, you shouldn't eat fat.

So "low-fat" products were (still are...) sold as a "diet" option. In fact processed carbs, and sugar in particular, are a far more direct cause of weight gain.

Fats do contribute to weight gain, but they're much more complicated. Sat vs unsat, trans vs ordinary, and so on all have very different health effects.

Put directly, the sugar industry lied and is now responsible for tens of millions of deaths.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by hilbert42 on Friday January 10, 2025 @08:17AM (#42655352)
"Put directly, the sugar industry lied and is now responsible for tens of millions of deaths."

Frankly, the dishonesty of the Sugar Industry and the effects of its deception are utterly appalling. Tragically, this industry is not alone in deceiving both public and supposedly august (professional) authority—the tobacco industry is yet another, and there are many more.

The question I keep asking myself is why are both experts and governments so easily hoodwinked by these miserable Cretans when it's not that difficult to see though or undermine their bad arguments. Scratch the surface of false and or propped up arguments and they quickly fall apart. If any key proposition is proven false then it's likely the whole argument/case is a sham.

With regard to sugar, I'd have thought the long history of diabetes together with patient histories and their lifestyles ought to have been enough evidence alone to bring the Sugar Industry edifice down. No doubt the playing field wasn't level.

Re the Guardian article in your link, why for example was the author of Pure, White, and Deadly, John Yudkin so ostracized by his professional colleagues? If they had his or similar training and had checked the evidence then they would have known that he was correct and come to his defense. Given the enormous implications—the death of millions—they all should have been up in arms against the Sugar Industry, but they didn't act.

In a way I hold these professionals almost as culpable as the Industry itself. I've asked myself for years what motivates people to be such utter bastards (trouble is one of my subjects was philosophy but unfortunately I didn't study its other half—psychology, perhaps if I had I'd be somewhat the wiser).

You've mentioned millions dead, little doubt this is correct, although it'd be good to firm up those numbers with factual evidence. Perhaps over time AI could crunch the numbers together with all relevant docs and history and we could end up with a statistically accurate number of deaths together with error bars.

A definitive number of deaths would put an actual measure on the Sugar Industry's culpability and those companies still in business would be forever tarnished. But to conclude the Sugar Industry alone is responsible for the harm and deaths is not good enough, we also need to link to those people who were actually responsible. Whether dead or alive we need to tarnish and destroy their reputations as a lesson for others. These corporate bullies need to learn that they can no longer hide behind corporate walls.

This is not the first time this week I've raised this matter, if interested see here: https://news.ycombinator.com/context?id=42629712. Also, note its thread below. Incidentally, the post received both up and down votes and currently stands at just one vote. It seems the notion of holding those responsible to account isn't overly popular with a significant percentage of the population. Perhaps guilt racks too many and this could be part of the reason why so many professionals failed to come to John Yudkin's defence.

I've also posted a similar rave about this in reply to mlyle.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by BigGreenJorts on Thursday January 09, 2025 @08:53PM (#42651711)
The replies are talking about sugar industry advertizing and actual scientific discoveries that point to causation which I'm sure are real. But I even I remember just 10 years ago the common rhetoric being (even if it wasn't validated) "eat too much sugar and you'll get diabetes". Where I think the impression I had was, "Well people with diabetes have to be extremely careful about their sugar intake -> sugar causes diabetes."

I will conceed that's not how science or the cause and effect works, but that's what I and everyone around me thought.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by solumunus on Thursday January 09, 2025 @11:49PM (#42652598)
People know it’s bad but it’s addictive.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by presentation on Thursday January 09, 2025 @08:27AM (#42645176)
I mostly avoid nuts because they’re so tasty I overconsume them every time. Those things pack a lot of calories into a small package!
Re:Type 2 Diabetes and cardiovascular disease attributable t... by datavirtue on Thursday January 09, 2025 @09:06PM (#42651773)
Your body can only access about 40% of the calories.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by BigGreenJorts on Thursday January 09, 2025 @08:49PM (#42651686)
I knew a guy who did this with chocolate. He used to get a candy bar from the vending machine at work like every day, but something happened, I think he either got a health scare or saw a documentary or maybe a combo of things and was like, "Gotta stop eating these shitty chocolate bars every day."

Started setting aside the coins he was using at the vending machine and at the end of the week would get a bar from a higher quality brand at the grocery store. Learned he really liked dark chocolate. Started upgrading to nicer and nicer chocolate. Last I heard from him he was going to some of the bougie chocolate shops downtown every few months.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by trod1234 on Tuesday January 07, 2025 @04:16PM (#42627595)
All carbohydrates eventually break down into sugars. Some quite a bit faster than others.

What people and scientists haven't been saying in any meaningful way is the truth that carbohydrate poisoning is a real thing. If you eat too much, its harmful.

Its common knowledge that medicines may become poisons when taken in too high amounts. This applies to most things in this area.

Protein poisoning is fairly easily discovered in the scientific literature, why isn't carbohydrate poisoning? Its a conundrum.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by fwip on Tuesday January 07, 2025 @04:25PM (#42627714)
Scientists aren't saying it because it's not true.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by hombre_fatal on Tuesday January 07, 2025 @04:27PM (#42627727)
You don't think the scientific literature has anything to say about sugar surplus or junk food surplus?

Carbohydrate poisoning sounds nonsensical though. Too many potatoes and whole grains, for example, aren't poisoning you. More people should be replacing junk food with those things.

It's just a fad to use "carbs" as a euphemism for "junk food" and it only further confuses the discourse about nutrition.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by bityard on Tuesday January 07, 2025 @05:43PM (#42628580)
I've noticed that people who want to deny that the extremely high carbohydrate content of the typical western diet is the major factor for runaway rates of diabetes and cardiovascular disease like to label the "bad" food as "junk food" or "ultra-processed food." But we never get an explanation from them as to what exactly is IN the junk food or ultra-processed food that causes the disease.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by hombre_fatal on Tuesday January 07, 2025 @05:53PM (#42628682)
Well, I can answer that.

It's not always about a certain boogeyman inside it, but whether it makes it easy to overeat and whether it pays its rent in nutritional content.

Consider potato chips. Even if they have zero saturated fat, the issue most people have with them is that they are hyperpalatable and low nutritional value compared to their calorie density. Combine fat and salt and certain textures, and we can't stop ourselves. Trying to blame a macronutrient like carbs doesn't make much sense to me.

Add in bad ingredients like saturated fat and the problem becomes multifaceted, but it's not necessary for individual ingredients to be bad for us for a food to have its downsides.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by pixl97 on Tuesday January 07, 2025 @07:46PM (#42629616)
The total lack of fiber isn't helping us either. Fiber fills you up and takes much longer to digest sating a person for longer.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by thereisnospork on Tuesday January 07, 2025 @08:36PM (#42629952)
Your comment kind of illustrates his point though, there's a complete lack of mechanistic empiricism[0] in the discussion of nutrition. What is the metric for 'eas[iness] to overeat and whether it pays its rent in nutritional content.'? I agree with the premise, but it is ill-defined.

e.g. consider: A baked potato, with salt and butter vs. an equivalent weight of potato chips. They are essentially identical post-mastication, except one is 'junk food' and 'ultra-processed' and the other is quintessential home cooking. What system do I use to rank them if they are in fact not identical?

[0] What (or combination of whats) at a structural/chemical level in a food causes the harm, and by what biochemical/psychological/psychosomatic pathway(s) does said harm occur?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by ifyoubuildit on Wednesday January 08, 2025 @12:14AM (#42631180)
Re: mechanistic empiricism, I don't know if you're doing this, but it seems that some people have this mindset that if you can't tell me specifically how X is bad for you, then I have to assume it is not harmful by default, even if it's a thing that is relatively novel.

I find myself leaning heavily in the other direction these days. If it's not something that has a long history and (I'm not already dying anyway), I'll pass. If I lose out on some benefits because of that, so be it.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by parineum on Wednesday January 08, 2025 @12:44AM (#42631336)
As far as diet is concerned, I'm very much in the camp of you do what works best for you. However, if you choose to give advice to a wide audience (rather than saying what works for you), I think one should have some idea of why their advice is good.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by thereisnospork on Wednesday January 08, 2025 @07:11AM (#42633361)
>if you can't tell me specifically how X is bad for youthen I have to assume it is not harmful by default

Speaking for myself, its a matter of how my brain works. Setting aside rational considerations like cost-benefit analysis or Bayesian likelihoods: if there isn't a generalizable logic to 'what (is harmful)' and 'how (it is)' I just get a 404.

It's not that I don't (or do) believe potatoes chips are harmful it's that the e.g. statement 'ultra-processed foods are bad for you' is literally devoid of meaning. Might as well be baby-speak.

As such, any attempt to incorporate that information[0] into my decision making process goes nowhere: I can't categorize a food as to it's degree of ultra processed-ness nor can I assess whether another foods/foods/etc might cause harm like UPF's are purported to do. Ergo: no basis for a behavioral modification, no new pros or cons to weigh.

[0]not even getting into the reliability of e.g. a paper's conclusions

Re:Type 2 Diabetes and cardiovascular disease attributable t... by ifyoubuildit on Wednesday January 08, 2025 @08:56AM (#42634232)
> As such, any attempt to incorporate that information[0] into my decision making process goes nowhere: I can't categorize a food as to it's degree of ultra processed-ness nor can I assess whether another foods/foods/etc might cause harm like UPF's are purported to do. Ergo: no basis for a behavioral modification, no new pros or cons to weigh.

So I guess my question is what are your defaults? What is your unmodified behavior?

There is a package on the shelf, you only know what it says on the box, what you've seen on commercials, and maybe you've seen/heard of other people eating its contents. What's the decision tree for this scenario?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by thereisnospork on Thursday January 09, 2025 @12:11AM (#42641835)
I generally choose the tastiest option that works towards what I 'know'[0] about nutrition based on what I've already eaten for the day and what I am planning on eating later. Considerations like 'processedness' or 'organicness' don't enter into it (for the above reasons). Considerations like price and shelf life do, but only casually.

What I 'know' can be more or less completely summed as: I need to eat ~2500 calories per day, +/- 100 calories being 1/35th of a lb or so

I should eat ~1g/kg to 1g/lb lean body mass in protein to avoid losing muscle mass

I need to eat/drink enough salts/electrolytes to replace what is lost through perspiration

I need to eat enough of various micronutrients (e.g. Vitamin C) to avoid specific deficiencies.

[0]My understanding of what has been meaningfully proven/characterized with a 'to me' significant impact/effect.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by chiefalchemist on Tuesday January 07, 2025 @10:21PM (#42630543)
> low nutritional value compared to their calorie density. Combine fat and salt and certain textures, and we can't stop ourselves.

In the end the body realizes it didn't get the nutrition it needed so I sends out a notice "eat more".

Re:Type 2 Diabetes and cardiovascular disease attributable t... by lithocarpus on Wednesday January 08, 2025 @01:00AM (#42631444)
Anecdotally I think there's something to this, when all I have to eat is lacking in micro nutrients I tend to be hungrier. When I'm eating lots of very nutrient dense things, even when less calories, I feel satisfied.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by Anotheroneagain on Wednesday January 08, 2025 @08:04AM (#42633753)
It isn't extremely high. I have no idea what you imagine that people used to eat. The typical pre 20th century diet was near 100% carbohydrate based, most people ate meat once a weak, if at all, and fat was scarce. The now typical meat-with-every-dish diet is a post WW2 development.

But we never get an explanation from them as to what exactly is IN the junk food or ultra-processed food that causes the disease.

You don't get it, because 1. there is something VERY CLEARLY wrong with it, and 2. what is wrong with it is at odds with what is hammered into them over and over.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by trod1234 on Tuesday January 07, 2025 @06:34PM (#42629042)
> You don't think the scientific literature has anything to say about sugar surplus or junk food surplus?

No, I know it does, but it doesn't properly communicate the relationship with correct words, where other related subjects do. Instead it dances about with a disconnection, I would guess because of the sugar and health industry lobby.

The medical definition of poisoning is generally defined as injury or death due to swallowing, inhaling, touching or injecting of various substances.

Disease can be considered as an injury when it refers to a condition that develops gradually over time due to repeated exposure or stressors.

> Carbohydrate poisoning sounds nonsensical though

Carbohydrates are in the potatoes, but are not the potatoes.

There are contextual limits when you associate specific things into a unique word definition, potatoes (unless green, or unsafely handled), would not be poisonous because they have a finite amount of components that our bodies can handle, and it would be quite hard if not impossible to eat sufficient amounts given biological limits and rates inherent in structure.

A concentrated chemical solution of simple carbohydrates in reduced liquid form that absorbs more quickly than your pancreas can handle on the other hand would be different.

When you exceed safe operating limits, this can cause injury, and that may show up, or present as symptoms of disease.

I would have responded sooner but apparently when posts get downvoted, it automatically applies a strict QoS filter that won't let the poster respond at all.

Not a very reasonable thing to do for a rational-minded community, for something as tame as what I said.

That system structure almost always trends eventually towards collectivist sock-puppetry opinion with the mob silencing others based solely on individual mass hallucination. Not very scientific, and at the same time eliminates requirements needed for intelligent thoughts.

In order to learn you must be able to risk being offended. In order to think, you must be able to risk being offensive. In order to share the benefits of either broadly, you must be able to communicate.

Without these inherent strengths skewing towards survival, its just a matter of time and circumstance before losing the fight against extinction.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by bruce511 on Wednesday January 08, 2025 @12:27AM (#42631243)
I'm very much in the "reduce carbs" camp. Long-term high carb intake leads to many health issues, and reductions lead to improvements. I'm not sure that science is behind on this (there's plenty of literature on the topic) but man-in-the-street understanding seems to be behind.

The concept that sugar leads to diabetes is not exactly news at 11. But articles like this are helpful in moving the popular mindset.

Personally though I'd avoid the term "poison". Mostly because it's a very long-term effect, whereas people use "poison" in general usage more as a short term thing (rat poison versus feeding rats carbs till they get diabetes).

Secondly calling it "poison" is far outside normal understanding and so you become the "nutter" in the conversation. Which then devalues the valid points you have to make.

I say this as someone in your camp. While your body certainly needs some carbohydrates its safe to assume everyone is getting enough. Nobody needs sugar though, and removing as much of that as possible from daily diet will have big impacts in the long term.

For me that doesn't mean 'never sugar'. It means cake at celebrations, ice-cream once a month, eating "normally" when at restaurants (which is probably less than once a month) and so on.

The goal is not to be "perfect" the goal is to improve one step at a time. Coffee without sugar? Check. No daily, or weekly, sugar sodas or fruit juice? Check. And so on.

Small changes introduced slowly over time become the new normal, and that leads to sustained improvements.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by nonameiguess on Tuesday January 07, 2025 @04:43PM (#42627943)
Protein poisoning happens because your body has a limited capacity to process protein. It's very high and you're unlikely to hit it, but it's happened to people living off the land and eating nothing but lean meat. Carbohydate processing is not inherently rate-limited like that. How much you need is dictated by how much you use. Even the stated numbers here about 9 weekly 8 oz drinks with 50 kcals or more per serving is comically miniscule compared to what is ingested with no ill effects by any serious endurance athlete who actually needs and uses that much energy. Carbohydrate only has a deleterious effect when you ingest more than you use, which is not characteristic of a poison.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by KittenInABox on Tuesday January 07, 2025 @04:16PM (#42627582)
I'm curious what is the number of added sugars and above 50kcal peer 8 oz serving. You can get away with saying fruit drinks have no added sugar and still be insanely sugary.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by athenot on Tuesday January 07, 2025 @04:20PM (#42627638)
Fruit drinks have a neat trick to increase sugar content. Take apple juice for example: you can evaporate water out of it till it's a sugary syrup, then add it to regular apple juice, and it's still called "100% pure apple juice no sugar added".

(This is also done with various flavor essences from the juice, so they can recombine them in such a way as to produce a uniform flavor all throughout the year regardless of where the fruits are coming from.)

Re:Type 2 Diabetes and cardiovascular disease attributable t... by ricardobeat on Tuesday January 07, 2025 @04:48PM (#42628004)
Not in the EU:

> It should be clearly indicated when a product is a mixture of fruit juice and fruit juice from concentrate

https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A...

Re:Type 2 Diabetes and cardiovascular disease attributable t... by criddell on Tuesday January 07, 2025 @05:01PM (#42628163)
Are you saying that they couldn't say "100% fruit juice and no sugar added" on the label when the drink is a mixture of fruit juice and fruit juice from concentrate? What part of the regulation would prohibit this?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by pjerem on Tuesday January 07, 2025 @05:30PM (#42628460)
You can say "no added sugar" but you are forced to write it’s from a concentrate and it must be in the front of the product, not hidden somewhere.

Not perfect but at least you can’t just say it’s fruit juice.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Maxion on Sunday January 12, 2025 @04:43PM (#42677240)
You can call it a fruit drink though, have photos of berries on the package, and text like "juice from berries" and so forth. Very easy to mislead consumers - most orange juice in the EU is like this.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by ricardobeat on Wednesday January 08, 2025 @03:57PM (#42638357)
They could not. That would not pass the 'clearly indicated' in the quoted rule. There is also another more general rule which enforces a label of 'sweetened' or 'with added sugars' for any kind of sweetening agent including fruit concentrate:

> 4. For fruit juices which have been sweetened by the addition of sugars, the sales name shall include the word "sweetened" or "with added sugar", followed by an indication of the maximum quantity of sugar added, calculated as dry matter and expressed in grams per litre. [1]

> A claim stating that sugars have not been added to a food, and any claim likely to have the same meaning for the consumer, may only be made where the product does not contain any added mono- or disaccharides or any other food used for its sweetening properties. [2]

Coming from a country of impenetrable legalese everywhere, I find these regulations very refreshing, they are incredibly easy to read and always straight to the point.

[1] https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A...

[2] https://ec.europa.eu/commission/presscorner/detail/en/memo_0...

Re:Type 2 Diabetes and cardiovascular disease attributable t... by exhilaration on Tuesday January 07, 2025 @04:38PM (#42627883)
So taking myself as an example: I drink 12 oz of coffee daily (7 days per week), and I add exactly 12 grams of table sugar to my coffee each day (equivalent to 3 sugar packets), which is 45 calories. Seems like I don't have much wiggle room and should continue avoiding soda and juice.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Tuesday January 07, 2025 @04:50PM (#42628021)
I'll be the guy that I assume most people are sick of by this point, and recommend experimenting with dropping the additives in exchange for higher quality coffee if you can afford it (it's usually not much more per cup). At effectively zero calories, after some period of time you'll get used to it and recalibrate your sense of sweetness to the point where sugary drinks and coffee are much less palatable
Re:Type 2 Diabetes and cardiovascular disease attributable t... by GeekyBear on Tuesday January 07, 2025 @05:47PM (#42628622)
I'll chime in to agree that it does take some time to get used to it, but after the transition period you don't miss it.

Giving up sweetened drinks and learning to cook healthy foods from scratch have been my most effective lifestyle changes.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by wil421 on Tuesday January 07, 2025 @05:42PM (#42628575)
Just to add a bit, we bought a Breville espresso and grinder. I only use some whole milk to make my coffee and no sugar. My wife uses a little agave syrup and skips most of the milk.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Tuesday January 07, 2025 @08:37PM (#42629960)
Milk has a bit of milk sugar in it. So you get some sweetness that way.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by dredmorbius on Wednesday January 08, 2025 @12:46AM (#42631351)
Agave syrup is virtually pure fructose. As a sugar alternative it's ... not that great. The insulin response is fairly low, true, but the high fructose content carries its own risks.

<https://www.healthline.com/nutrition/agave-nectar-is-even-wo...>

Stevia would be a non-sugar-based sweetener, though it does have a distinctly different taste.

I'd learned to drink coffee with milk/cream, no sugar. With decent beans (Trader Joe's Bay Blend, e.g., nothing fancy) and a Moka pot that's more than sufficient.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:39AM (#42632845)
Have you tried playing around with using the same grinder, but switching up the beans and brewing method?

I think a lot of people go espresso at home, but I do think that's an extremely difficult thing to transition to consuming black unless you're really into the hobby of it all and have adjusted. It's just really intense, which naturally blends well with the fats and sugars in dairy, especially with most espresso roasts being darker. If I personally go espresso, it's either a latte or black Americano.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by vasco on Tuesday January 07, 2025 @05:18PM (#42628340)
You can either get better coffee or you can also just get used to the flavor. I didn't like it and after about a year it became fine, now I have a lifetime of no sugar coffee unlocked.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:16AM (#42632741)
I think this is something that people don't appreciate about being acclimated to sugar coffee. It takes a while to adapt, you can't just try it periodically and try to convince yourself it's better than the milky alternative, contrast is too significant, like comparing a pear and a slice of dry whole grain bread, or walking vs driving, or going to the gym vs not. A couple of months though and you'll probably be well on the way. In a pinch I'll grab a black coffee from McDonalds, since it's more on the medium side anyway, and it's perfectly serviceable.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by SoftTalker on Tuesday January 07, 2025 @05:06PM (#42628214)
I honestly can't tell much difference between expensive coffee and Maxwell House. But in general I've never nerded out over coffee, wine, bread, cheese, whiskey, or any other food or beverage.

I don't add sugar to my coffee either.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by codazoda on Tuesday January 07, 2025 @08:07PM (#42629766)
I’ve tried lots of different coffee’s and I keep going back to (don’t laugh) Folgers Instant. Maybe it’s because it’s what my parents had when I was a kid. Nothing else is quite like it.

Unfortunately, I add 100 calories of crap to it. But I drink it slower than Coke and it’s at least half the calories of a 32oz (my other vise). I use it as a way to lower my calorie count, just a little.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:31AM (#42632801)
Surprisingly less calories in 32oz of Coke than I was expecting, less than a standard Starbucks sugary drink probably. Regarding coffee, people like what they like, and there's a lot of memories I also have associated with it, as well as drinking copious amounts of Coke for that matter.

If you ever want to try and ease off both those vices, I'd simply recommend buying a McDonalds coffee, buying a Starbucks Blonde Americano, and then taking them home and brewing a cup of the folgers instant with no additions. Get someone to pour them into identical cups, and have them play a shell game (move the cups around to hide which ones they are), then try them back and forth. Try to avoid anything with sugar in it for a few hours before. I bet you'll pick out some differences and maybe even like them, then if you want to try and delete the sugar from your coffee, avoid it in exchange for black coffee for at least a few months. It's not as hard as it seems, but it does take some time.

Then if you like, play around with easy home brewing methods like french press or pour over, grinding beans etc.. those were probably the most impactful things I tried when I went on the same journey. Grinding recently roasted beans before brewing was eye opening. I honestly didn't believe black coffee could be palatable, and was drinking Folgers with half and half from the big red can for ages.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by cwbrandsma on Tuesday January 07, 2025 @05:14PM (#42628292)
I can easily tell the difference between the two, but I really don't care so long as the coffee is brewed well. I still like Maxwell House Black Silk, but at home I grind my own beans and brew in a French Press.

What I don't like is "Church Coffee", where it has brewed within an inch of its life and is the darkest, most bitter/burned flavor that ever existed.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by mcny on Tuesday January 07, 2025 @08:51PM (#42630052)
The best coffee I have ever had was from a coworker's French press. (:
Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:34AM (#42632817)
The best coffee you'll ever have is one that was made for you with care :) Pay it forward if ya can.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by znpy on Tuesday January 07, 2025 @05:53PM (#42628678)
Cheese is worth it, a bit. First because it’s way leas of a bullshit industry when compared to wine for example, and also because (particularly if you’re in europe) there is so much variety of cheese at overall an affordable price. And you largely don’t need tools or fancy accessories. If anything, you could get something nice to paid it with :)
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Tuesday January 07, 2025 @08:39PM (#42629979)
Here in Singapore cheese is a lot more expensive than in Europe, alas.

I can definitely tell the differences between different coffees or teas or bread etc. The range for wine isn't that large. And that's not just in 'quality', but also just in less variety than eg (craft) beers or breads.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:18AM (#42632753)
Do you add cream or milk?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by cableshaft on Wednesday January 08, 2025 @03:05AM (#42632107)
I was able to switch to coffee and a little half and half with nothing else. That seems to be good enough for me and pretty low calorie and sugar content.

Drinking black coffee only has been difficult though, even with more expensive coffee (I'm not sure what's considered higher quality necessarily, but I have an espresso machine and I'm grinding whole beans for brands of coffee that websites claim are good)

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brailsafe on Wednesday January 08, 2025 @05:08AM (#42632697)
From my cursory sense of espresso, it's a bit of a finicky, expensive, and niche thing to enjoy in the raw. It's my impression that the overwhelming majority of people in Canada and the U.S for example enjoy their espresso in an espresso-based drink, like a latte or cortado, because the intensity and texture of it mixes quite well with the fats and sugars in cream or milk, and is often made from darker roasts which balance out well. It would be very hard to transition from that to just raw espresso made from any bean.

I personally do not enjoy espresso on its own enough to invest in that sort of equipment, and am fine just getting that periodically at a cafe.

Anyone recommending any particular coffee on the internet should qualify it with their brewing method and personal preferences, because some people like a french press, some people like espresso, or aeropress, or pourover, for various reasons, and none are better than any other, but some people like the intensity of straight espresso, and some people like what you'd call drip/filter coffee, which would be a classic cone that you drip water through.

Likewise, among "high quality" coffee, there's a world of variety. Many great South American beans lean into chocolatey, but some end up quite sweet and fruity, while east african or indonesian beans can pretty much taste like candy. Quality usually refers to "grade", which is more technical and I'm not too well versed on, but to me it means how well the roasted product reveals the potential of a well-selected batch. Sounds a bit pretentious, but basically if you like bitters or cocoa or milk or dark chocolate, high quality beans will make that very enjoyable, both because it was a good crop from the right region, and because the roaster did their job by leaving enough of the sugars and moisture in the bean throughout the roasting process. It's worth experimenting with all of this.

If it doesn't taste that good, it can be because any of those other variables are off, or the blend that the roaster chose to make wasn't a good selection; they might have chosen to mix a brazillian with an east african and got the balance wrong for your taste, or it's too bitter because they roasted it too long, or it might just be stale, or you just don't like it because it's not your vibe.

Right now, I'm doing pour overs with a Hario Switch or V60 dripper and use a modest grinder. It's a pretty standard and inexpensive setup, the dripper usually comes in plastic or glass, and I get beans that are roasted in the neighbourhood within the month for about ~$10USD or sometimes more, and often they'll be an african or columbian blend. It costs me very little and is a simple pleasure. This is probably what I'd recommend if you were looking to play around, it's cheap and would require only the most marginal of equipment changes. It admittedly did take me a long time to taper off the cream and milk, I'd get it from McDonalds or whatever, but now I can even drink that stuff black pretty easily, but it's nearly impossible to tolerate if you're just side-by-side comparing with a coffee+milk mix, the contrast is too harsh.

I do still drink an occasional soda fwiw, and enjoy a latte, but now that I've figured out how to find and make good black coffee, there's no turning back. I'd rather the sugar come from a dessert.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by cableshaft on Friday January 10, 2025 @01:53PM (#42658743)
Before we got the espresso machine I was using a manual grinder and a pourover daily and still have the equipment. I do use it sometimes still but the espresso machine is very convenient.

The best tasting coffee beans I found for the manual grinder / pourover setup was Mayorga brand Mayan Blend coffee (Medium Roast), which you can get on Amazon. Although even then I was putting a little half and half in there.

There's not too many neighborhood coffee roasters nearby (there's only one non-chain coffee shop near us, it's a bit of a dead zone). If I drive half an hour or more I start to have some choices though (three places if I drive 30 minutes, a couple more if I drive further), so at some point I should make the drive (or go a little out of my way when I'm roughly in that area for some other errand).

Re:Type 2 Diabetes and cardiovascular disease attributable t... by brandall10 on Tuesday January 07, 2025 @06:01PM (#42628756)
I just add a few drops of Stevia (have a liquid bottle that ends up being incredibly cheap on the whole)... personally, I can't really tell the difference.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by nineteen999 on Tuesday January 07, 2025 @07:48PM (#42629632)
Monkfruit sweetener tastes better and more like sugar to me.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by brandall10 on Tuesday January 07, 2025 @11:10PM (#42630814)
I've used and liked that as well, but honestly I'm not too discerning. Where I am in Mexico atm it's hard to find in a similar liquid form.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by EasyMark on Tuesday January 07, 2025 @09:34PM (#42630269)
that's what I do, just a few drops is more than enough with a splash of whole milk or cream
Re:Type 2 Diabetes and cardiovascular disease attributable t... by DanielHB on Tuesday January 07, 2025 @05:59PM (#42628743)
I recommend replacing the sugar for a little bit of milk.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by leptons on Tuesday January 07, 2025 @07:28PM (#42629489)
I sweeten my coffee now with pure monkfruit. It's great in coffee, and chocolate too. It's really sweet, which is how I like my coffee, only a little is needed. And there's zero sugar or anything even close to a sugar.

The best time to stop eating sugar is yesterday. I wish I hadn't fucked up my body so much with sugar.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by m3kw9 on Tuesday January 07, 2025 @05:40PM (#42628555)
Learn to drink it black, it’s good. But I do get beans and grind them so the brew is much higher quality. I’m assuming you drink that can of grinds for 3 bucks or instant. Those suck
Re:Type 2 Diabetes and cardiovascular disease attributable t... by chiefalchemist on Tuesday January 07, 2025 @10:18PM (#42630522)
I learned to drink it black, but not for health reasons. I did it to avoid having to depend on sugar a/o milk in order to have a coffee. Plus, nothing says "No nonsense" like "Coffee? Yes, black please."
Re:Type 2 Diabetes and cardiovascular disease attributable t... by 0xEF on Wednesday January 08, 2025 @05:02AM (#42632653)
It"s funny but also true? I have taken my coffee black for years now, having started because I wanted to just simplify my experience with it (among other things in my life). Not that my old coffee order was complex, but being lactose intolerant meant I needed to choose which milk substitute I was going to get, since not all coffee shops carried the same ones back in the day (less of a problem now, from what I understand). I grew to enjoy it black and still drink it that way to this day.

Going back to it, I think the need to simplify things was key for me. We are bombarded with so many choices, especially in our food products which I've described as the Breakfast Cereal Problem in the past. There are simply too many to consider them all with each shopping trip, so you are almost forced to just make one arbitrary choice and live with it unless you want to be paralyzed in the grocer aisle. None of the choices really offer a significant value or weight over the others, each cereal promising the same thing; to be part of a balanced breakfast, that Gestalt puzzle created by marketers to kick off our day.

Once you step back from that world, it does seem miserably pointless and the same can be said for the SSB's in the article. But on a deeper level, it says something about the stresses we introduce into our lives by chasing too many choices. I can't remember which of his books he mentions this in, but Richard Feynman seemed to have the same realization when struggling to decide what to get for dessert in restaurants. Eventually, be just settled on chocolate cake so he didn't have to make that decision anymore. That stuck with me for some reason, more than any concerns about how soda or whatever might be affecting my blood sugar, pushing me in the direction of just going with the more ubiquitous alternative; water.

Plus with soda at $4USD a pop in most restaurants these days, it's just cheaper to go with water. So we have health, simplicity and financial reasons to not go for the SSBs. Seems enough for me.

/ramble

Re:Type 2 Diabetes and cardiovascular disease attributable t... by m3kw9 on Wednesday January 08, 2025 @01:02PM (#42636739)
“Please hold on, white”
Re:Type 2 Diabetes and cardiovascular disease attributable t... by dfltr on Tuesday January 07, 2025 @05:33PM (#42628490)
"Sugar: The Bitter Truth" (https://robertlustig.com/sugar-the-bitter-truth/) is a pretty long watch, but it's incredibly eye-opening in terms of explaining in detail exactly why our current dietary sugar intake is so damaging to our bodies.

Note: Robert Lustig is a professor of pediatric endocrinology at UCSF, I promise I wouldn't ask you (the reader) to watch a long-ass youtube video unless it contained extremely relevant science about how you (the biological machine) work.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by jjav on Tuesday January 07, 2025 @06:02PM (#42628758)
Seconded. Lustig's talks are extremely good and highly recommended for anyone who eats.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Tuesday January 07, 2025 @07:08PM (#42629317)
Lustig is a crank with opinions well outside scientific consensus.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by bitwize on Tuesday January 07, 2025 @08:34PM (#42629943)
This is one of those areas where scientific consensus needs to catch up with the alarming facts that have been discovered. Scientific consensus was against handwashing for doctors and plate tectonics, and it still is in favor of "clearing amyloid plaques will totally fix Alzheimer's", but the facts just keep on being what they be.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Tuesday January 07, 2025 @09:28PM (#42630235)
No, this is an area where Lustig is probably wrong, and definitely making unsubstantiated statements.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by chiefalchemist on Tuesday January 07, 2025 @10:12PM (#42630491)
Can you elaborate a bit?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by vixen99 on Wednesday January 08, 2025 @03:33AM (#42632252)
As in? No examples so that we can look at the facts ourselves?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by parineum on Wednesday January 08, 2025 @12:34AM (#42631277)
You can use that exact post to reply to anything. It's devoid of information relevant to this topic.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by raegis on Wednesday January 08, 2025 @12:48AM (#42631358)
This isn't true. He has books and lectures explaining the metabolic processes when eating refined sugar, and why it's bad for you. Nowadays it's pretty mainstream stuff. Nevertheless, can you give an example of one of his opinions which is "well outside scientific consensus".
Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Wednesday January 08, 2025 @01:12PM (#42636843)
> Nevertheless, can you give an example of one of his opinions which is "well outside scientific consensus".

Lustig specifically claims that sugar is addictive; that fiber somehow mitigates the absorption of fructose; that calorie restriction does not cause weight loss; that in fact, weight loss is somehow a function of insulin, not calories; that fructose is uniquely bad relative to other sugars; that fructose causes inflammation; that recent decades' increase in obesity is caused by increased sugar consumption; that statins are essentially useless; that some kinds of LDL cholesterol are good for longevity; that non-nutritive sweeteners have the same impact on fat/weight gain as sugar; etc, etc, etc, etc.

A few of these claims are wholly unsubstantiated by research; the rest have some research and the research does not support Lustig's claims.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by scoofy on Wednesday January 08, 2025 @02:44PM (#42637723)
What are you talking about?!? He's not some random dude, he's a specialist and professor, at UCSF: https://pediatrics.ucsf.edu/people/robert-lustig

>sugar is addictive

>>The evidence supports the hypothesis that under certain circumstances rats can become sugar dependent. This may translate to some human conditions as suggested by the literature on eating disorders and obesity.

https://pmc.ncbi.nlm.nih.gov/articles/PMC2235907/

>that fiber somehow mitigates the absorption of fructose

>>Dietary fiber (DF), especially viscous DF, can contribute to a reduction in the glycemic response resulting from the consumption of carbohydrate-rich foods.

https://pmc.ncbi.nlm.nih.gov/articles/PMC9736284/

>that calorie restriction does not cause weight loss

>>Mechanisms smooth out the large day-to-day differences in energy consumption, decreasing the importance of the size of a meal. In the short term a reduction in energy intake is counteracted by mechanisms that reduce metabolic rate and increase calorie intake, ensuring the regaining of lost weight.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5639963/

I'm not going to go on and on... UCSF, which is one of the most respected teaching hospitals in the country, isn't hiring cranks. He specialize in exactly this stuff. Yea, he's a bit more strident than would would expect from a scientist, yes, he deals with the extremes of childhood obesity, which isn't really relevant to most people's bodies, but christ, he's not a crank.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Dylan16807 on Wednesday January 08, 2025 @04:13PM (#42638516)
> In the short term a reduction in energy intake is counteracted by mechanisms that reduce metabolic rate and increase calorie intake, ensuring the regaining of lost weight.

If calorie intake increases, then it's no longer "calorie restriction".

If his actual claim was that calorie restriction does not cause weight loss, then that's wild despite your quote.

> I'm not going to go on and on...

Well you didn't address the other really egregious supposed claim, that "non-nutritive sweeteners have the same impact on fat/weight gain as sugar". If that's an accurate description of his stance, that's really bad.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by scoofy on Wednesday January 08, 2025 @05:08PM (#42639002)
>While people often choose “diet” or “light” products to lose weight, research studies suggest that artificial sweeteners may contribute to weight gain.

https://pmc.ncbi.nlm.nih.gov/articles/PMC2892765/

Again… things that are counterintuitive are exactly the purview of good science. The human body is an absurdly complex multi-variate system that is confounding even in the areas we pretend to understand.

The interaction of the neurologist of taste on biological processes may be affecting the hunger responses, thus weight gain.

This shit is not simple, and the simplistic models we use to explain these processes are exactly the type on ultimately wrong knowledge that Karl Popper rails against.

Again, I definitely think Lustig claims debatable things overconfidently, but he’s no crank.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Dylan16807 on Wednesday January 08, 2025 @05:15PM (#42639061)
"may contribute" is really far from "the same impact"

Even more so if there's a calorie restriction going on, but still so if there isn't.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by scoofy on Wednesday January 08, 2025 @06:43PM (#42639841)
"is a crank" is really far from "has some controversial or heterodox views"

I'm not arguing that everything Lustig says is correct, on the contrary, I've gone out of my way to criticize him. My point in this conversation is that saying a reputable scientist, at a reputable institution, doing reputable research is somehow a crank... is bananas.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Wednesday January 08, 2025 @07:40PM (#42640286)
What do you imagine "crank" means that differs from having some heterodox views? That is the definition of this use.

"a person who has strange or unusual ideas and beliefs"

https://dictionary.cambridge.org/us/dictionary/english/crank

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Dylan16807 on Wednesday January 08, 2025 @07:11PM (#42640076)
If he actually said it's the same impact, that is much closer to crank than controversial without a few pieces of really strong evidence.

And the counterargument you had for calorie restriction described a situation that is not calorie restriction.

I'm not saying he's a crank for sure, but my evaluation of him is riding on whether loeg's description of his claims is accurate, not the evidence you brought, because that evidence really does not support the plausibility of those claims.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Wednesday January 08, 2025 @05:29PM (#42639187)
You’re motte and baileying.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by scoofy on Wednesday January 08, 2025 @06:41PM (#42639825)
You're attributing extreme claims without citation or context.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by loeg on Wednesday January 08, 2025 @07:28PM (#42640200)
https://www.youtube.com/watch?v=n28W4AmvMDE

22:31 - "fructose is addictive"

No. https://pubmed.ncbi.nlm.nih.gov/27372453/ https://pubmed.ncbi.nlm.nih.gov/28330706/

25:14 - "the fiber is what mitigates the absorption ... that fructose wasn't for you"

Not how that works. You absorb the same fructose whether or not it's co-located with fiber.

33:40 - "this whole calories in / calories out makes no sense ... there's no study that actually shows that cutting calories makes a difference"

Completely wrong and against the literature. https://pubmed.ncbi.nlm.nih.gov/32238384/

1:00:17 - "fructose causes leaky gut; that causes inflammation of the liver and ultimately systemic inflammation"

No. https://pubmed.ncbi.nlm.nih.gov/29757229/

1:31:10 - Asked to explain trend towards obesity over the past 20 years if not the transition away from trans fats. "It's the increase in sugar."

No. Sugar consumption has fallen steadily since about 1999, while obesity continues to rise. https://pubmed.ncbi.nlm.nih.gov/31938015/

2:03:40 - "The mean increase in lifespan from being on a statin is 4 days."

No. They have a huge positive impact on mortality and CVD events. https://pubmed.ncbi.nlm.nih.gov/32619724/

2:05:10 - "LDL is not really the problem, there are two LDLs: large buoyant, small dense. Large buoyant is irrelevant, cardiovascularly neutral."

No. https://pubmed.ncbi.nlm.nih.gov/31642874/ (small particles do penetrate easier, but large particles have more apoB; they're both bad)

2:26:39 - "when people go on diet sweeteners ... are they reducing the fat? no."

Wrong again. There's a wealth of literature on this. https://pubmed.ncbi.nlm.nih.gov/33168917/

Directly following that, he goes on to totally misrepresent a 2011 study in which groups were assigned diet soda, water, milk, or full sugar soda; the study saw diet soda participants gain less weight than the water group and actually lost fat. (All other participants gained weight and fat.) That's https://pubmed.ncbi.nlm.nih.gov/22205311/ .

If he isn't a crank, he should stop going on podcasts and saying crank things.

And finally, he's a pediatric endocrinologist. Not a specialist in many of the subject areas he makes claims about (cardiology, gastroenterology, nutrition).

Re:Type 2 Diabetes and cardiovascular disease attributable t... by vixen99 on Wednesday January 08, 2025 @03:32AM (#42632244)
When you make accusations like this why not offer a specific illustrative example to avoid suggestions of mere name calling. Scientific consensus?. Actually nutrition & medical science is replete with the abandonment of 'received opinion'. How about applauding researchers who have novel ideas outside the consensus while at the same time insisting they demonstrate their evidence or in problematic areas, convincing reasons for pursuing their path?
Re:Type 2 Diabetes and cardiovascular disease attributable t... by xboxnolifes on Tuesday January 07, 2025 @05:48PM (#42628629)
I'm always glad for more hard evidence, but this exact reasoning has been "common sense", or something to that tune, my entire life. Maybe not every individual resulting issue, but that liquid sugar absorbs more rapidly and as such is worse that an equivalent amount of sugar in a more solid meal.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Tuesday January 07, 2025 @08:40PM (#42629983)
It's also a lot easier and quicker to drink the juice from, say, 6 oranges than to eat 6 oranges.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by Hilift on Tuesday January 07, 2025 @05:58PM (#42628726)
Orange juice is high in sugars. Drinking any alternative beverage with a lot of sugar is bad for your health. I believe a 12 ounce glass of orange juice is 100% of maximum sugar intake for one day. If you drank orange juice the same way you drank soda with added sugar, the health effect would be equally detrimental.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by gdw2 on Tuesday January 07, 2025 @06:06PM (#42628811)
> the health effect would be equally detrimental.

From the article:

> High doses of rapidly digested glucose also activate insulin and other regulatory pathways...

Orange Soda (i.e. Fanta), an SSB, and Orange Juice have glycemic indexes of about 68 and 48 respectively. I assume that's a material difference in that OJ doesn't spike your insulin as abruptly and therefore is not as harmful. Thre's more to it than simply grams of sugar.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by Zobat on Wednesday January 08, 2025 @03:12AM (#42632145)
The diabetics I know say OJ is worse than (sugared) sodas.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by Der_Einzige on Wednesday January 08, 2025 @12:41PM (#42636556)
Maybe because they can drink it faster. Glycmic index's and the equivalent index's around insulin response are literally the gold standard for deciding what's okay to eat. "Vibes" or "My opinions" do not matter. OJ is marginally "healthier", significantly because the fiber in the drink (more pulp the better) slows down (slightly) the insulin and glycemic responses.

Source: Family of diabetics who have actually lost limb to the poison that is refined sugar.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by devmor on Thursday January 09, 2025 @09:40AM (#42646060)
I have no idea if this might be related, but citric acid is known to speed up mixed absorption of non-protein sources by inhibiting proteolytic enzymes in the digestive tract (it is even used in some medicines that require faster absorption because of this).

To that effect, perhaps the glucose in OJ is absorbed faster than the glucose in other SSBs specifically when consumed with other foods, leading to this anecdotal understanding that OJ is "worse" than other SSBs among diabetics?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by musicale on Tuesday January 07, 2025 @06:03PM (#42628777)
I think citric acid is better than phosphoric acid (e.g. for your bones and kidneys), though both can dissolve tooth enamel.

OJ also has more vitamin C than typical sodas.

Milk has more calories/ounce than soda, but it also has protein, fat, and calcium.

Anecdotally, I find juice more filling than soda, milk even more so.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by malfist on Tuesday January 07, 2025 @07:17PM (#42629393)
Citric acid and phosphoric acid likely have the same impact on your teeth and no impact on your bones and kidneys.

Acids and bases on your diet have very little to do with what pH is exposed to the rest of your body. Your stomach is probably more acid than anything you eat or drink, and your lungs and kidneys tightly regulate the pH of the blood. If your diet is effecting your blood pH, your probably already on death's door

Re:Type 2 Diabetes and cardiovascular disease attributable t... by davoneus on Tuesday January 07, 2025 @08:28PM (#42629906)
Intuitively, I suspect any acid is bad for your teeth. But I see that statement primarily from Dentists, and their track record in a number of areas is less than stellar. Prime example: Flossing and 6 month checkups. Neither of which have good scientific evidence, despite their widespread promotion.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by eru on Tuesday January 07, 2025 @08:36PM (#42629954)
From anecdotal evidence: when I stop flossing for a few days, my gums start bleeding.

Not sure what suspicious extra super powers your dentist suggests flossing has?

Re:Type 2 Diabetes and cardiovascular disease attributable t... by cableshaft on Wednesday January 08, 2025 @03:00AM (#42632082)
I go every three months, and they have a good amount of tartar to clean off my teeth then. Also before I did that I was having pretty significant pockets for gum disease for all my teeth (it was close to the point where it's irreversible).

It's mostly under control now, except for problem areas in two specific spots, but even those are still better than they were.

I haven't really changed my dental hygeine habits other than going in for routine cleanings twice as often, so it's definitely helping.

Re:Type 2 Diabetes and cardiovascular disease attributable t... by musicale on Thursday January 09, 2025 @11:54PM (#42652625)
6 month checkups (especially with expensive x-ray imaging) are scientifically proven to improve dentist income.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by musicale on Thursday January 09, 2025 @11:39PM (#42652534)
> Citric acid and phosphoric acid likely have the same impact on your teeth and no impact on your bones and kidneys

"Recent findings show that increasing dietary phosphorus through inorganic phosphate additives has detrimental effects on bone and mineral metabolism in humans and animals. There is new data supporting an educational intervention to limit phosphate additives in patients with chronic kidney disease to control serum phosphate."

"Cola is a unique source of additive inorganic phosphate that has been studied over the years in its effect on bone health. Cola delivers a load of phosphoric acid that is absorbed readily and rapidly and is often consumed between meals. A 20 fl. oz. bottle of cola, for example, provides 55 mg of phosphorus, whereas non-cola sodas are phosphate-free. In addition, cola may displace milk in the diet, so it can contribute to lower calcium intake concurrent along with greater inorganic phosphosphates intake (12)."

But, you could be correct regarding bone effects:

"It seems likely that any potential negative effects of cola on bone when it substitutes for milk in the diet would be driven by decreased calcium intake and other bone health nutrients (e.g. protein, vitamin D) in milk, rather than the difference in phosphorus load. This is because milk has about ten times the phosphorus content of cola by volume,"

Though I still wonder about possibly different effects from inorganic phosphorus additives in cola vs. naturally occurring phosphorus in milk and other foods.

https://pmc.ncbi.nlm.nih.gov/articles/PMC5693714/

Re:Type 2 Diabetes and cardiovascular disease attributable t... by in-pursuit on Wednesday January 08, 2025 @12:39AM (#42631305)
Milk actually has a ridiculous amount of sugar. 11g per cup! That makes it hard to drink if you're trying to cut back on sugar.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by majkinetor on Wednesday January 08, 2025 @06:53AM (#42633247)
Lactose is poorly digestible though
Re:Type 2 Diabetes and cardiovascular disease attributable t... by EasyMark on Tuesday January 07, 2025 @09:30PM (#42630254)
also a lot of people won't acknowledge that as far as damage that sugar is likely just as bad as HFCS. both should be heavily reduced
Re:Type 2 Diabetes and cardiovascular disease attributable t... by jtc331 on Tuesday January 07, 2025 @10:22PM (#42630548)
I believe sucrose and fructose are processed differently — specifically fructose is processed by the liver so can have the same issues as alcohol there.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by jandrewrogers on Tuesday January 07, 2025 @11:35PM (#42630951)
Sucrose is 50% fructose. HFCS is typically 42-55% fructose. They are essentially indistinguishable to your liver.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by sideshowb on Wednesday January 08, 2025 @03:12AM (#42632144)
> Sucrose is 50% fructose

What? They're different molecules

Re:Type 2 Diabetes and cardiovascular disease attributable t... by LordAtlas on Wednesday January 08, 2025 @03:23AM (#42632191)
Sucrose is a disaccharide made up of 50% glucose and 50% fructose.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by majkinetor on Wednesday January 08, 2025 @06:55AM (#42633261)
There is also a chemical bond that needs to be broken in sucrose
Re:Type 2 Diabetes and cardiovascular disease attributable t... by jandrewrogers on Wednesday January 08, 2025 @02:40PM (#42637680)
Of course, and the human body is full of enzymes that exist to cleave saccharides into their constituent sugars.
Re:Type 2 Diabetes and cardiovascular disease attributable t... by brandall10 on Tuesday January 07, 2025 @06:05PM (#42628793)
Soft drinks tend to be much higher in sugar per ounce, roughly double. A 12 ounce can of coke has 39 grams, so you blow past that at around 4 ounces.