Is this the deadliest drug of all?
Most of my first-time clients are surprised when we get to the nutritional part of my health programs. That’s because I’ll often start off by asking them how much sugar they put in their coffee. One packet? Two? How about 14 packets?
Then comes the look that says, ‘O.K, you’re joking. I get it. So what’s the point?’ At which time I gladly come to the point: That 12-ounce glass of store-bought orange juice you had this morning contained about 14 packets of sugar. (Note: I use sugar packets as my measure because people can easily relate to it, and a sugar packet contains two-to-four grams of the sweet stuff so I take the average of three grams).
And then I continue.
A lot of people eat muesli as part of a healthy diet. Good idea, right? Wrong. A typical serving size – a bowl of say 150 grams – of the average store-bought brand contains as much as 10-15 sugar packets. And how about that fruit-flavored cup of yogurt with the “Hurrah, we are fat free!” label on it? As much as 10 packets of sugar. Granola bars, canned fruits, condiments, pasta sauces, jams, breakfast cereals, dried fruits, store-bought juices – all contain sugar, and often in very (read insanely) large amounts.
Understanding the beast
When people talk about sugar they are often referring to white table sugar (sucrose), which is refined from the natural sugars that occur in sugar cane. And that is the main type of sugar we are all very familiar with. But for the food industry there is another type of sugar – the very potent high fructose corn syrup (HFCS) – which is a mixture of glucose as well as fructose produced from corn, all put through an ugly chemical process. This highly concentrated sweetener is found in so many of our products today such as our juices, breakfast cereals, sodas, condiments, ice creams – and the list goes on.
For me it does not stop there, though. When I talk with my clients about reducing or eliminating sugar from our diets I stress that it is really about avoiding foods that drive up our blood glucose levels. These blood sugar spikes are happening to most of us daily here in the UAE, where the Western diet reigns supreme. So in addition to the “straight” sugars, we are also talking about all those grain-based products such as breads and pastas and rice.
“That 12-ounce glass of store-bought orange juice you had this morning contained about 14 packets of sugar”
And why are they so bad? Because regular consumption of these foods leads to chronic insulin spikes. Insulin, released by the pancreas, is what pushes sugar into your cells so it can be used for energy. But your body is not meant to be dealing with the amount of sugar you are consuming daily. So if you have chronically high blood glucose levels due to a Western-type diet, you are asking too much of your body and it is having to endure constant insulin spikes. This causes wear and tear on the 50,000 miles of blood vessels that run through your body, and this is the cause of many diseases.
And unfortunately here we are talking about a number of deadly noncommunicable diseases (NCDs) – including heart disease, cancer, and diabetes – that, according to the World Health Organization (WHO), are causing more than 60% of all deaths in GCC countries, with half of those deaths occurring in those less than 60 years of age.
Ignorance or intentional deception?
When we use the term “drug” to describe sugar (or any food that rapidly and significantly drives up blood glucose levels), we are in no way just having a play with words here. These foods go to work on the reward centres of the brain, affecting us in the same way cocaine or nicotine would. A sip of cola or a bite of white bread is all that is needed to get your brain to release dopamine – a hormone and neurotransmitter that plays a major role in reward-motivated behavior.
As you can tell I am not a fan of sugar. But this is in no way an exaggerated stance on the issue. I simply cannot believe at what stage of the discussion we are still at. The argument is in fact so skewed that the powers that be (government bodies, food industry lobbies, the media, medical schools, etc.) have us all debating what an acceptable daily quantity is instead of talking about why we shouldn’t be eating these foods in the first place. In other words, instead of talking about “good” foods versus “bad” foods, we are still talking about how much of those “bad” foods are “good” for us to eat .
Which is why I do not get drawn into “recommended daily intake” discussions. When talking nutrition with my clients I tell them to stop counting calories and focus on eliminating the unhealthy foods. A little cheating here and there we should all enjoy, but because we are not simply talking about only gaining weight – that is, we are also talking about the risk of developing very serious illness – it is time to change the nature of the discussion.
Graham Simpson, MD is Chief Medical Officer and Founder of Intelligent Health, a preventive medical centre located in Jumeirah. Dubai. He graduated from the University of the Witwatersrand Medical School in Johannesburg, South Africa, and is board certified in Internal Medicine and Emergency Medicine. As a founding member of the American Holistic Medical Association (AHMA) Dr Simpson is also a licensed homeopath.